The nurse is caring for a patient with Guillain-Barré syndrome. The patient has an order for a pureed diet. Which assessment prompts the nurse to clarify the order with the provider?

Absent gag reflex. The patient with an absent gag reflex should not be fed by mouth due to risk for aspiration. This patient should receive nasogastric tube feedings until the gag reflex returns. The patient can be supported to hold the head up or can be fed by another person if there is severe weakness of the upper extremities. The patient request for soft solid food is not necessarily enough to clarify the order because the patient’s safety must be considered.

The nurse is caring for a patient with Guillain-Barré synd...

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Basic Care and Comfort
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Category: Basic Care and Comfort
Difficulty: 4

Topics: Communication & Documentation Disease Prevention Gastrointestinal HEENT Neurology

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