The nurse prioritizes which nursing diagnosis as the highest in the patient with Guillain-Barré syndrome (GBS) ?
A) Risk for Aspiration related to related to loss of sensation in oropharynx secondary to progressive neuronal degeneration
B) Ineffective Airway Clearance related to decreased cough secondary to decreased acetylcholine at neuromuscular junction
C) Ineffective Breathing Pattern related to skeletal muscle weakness secondary to destruction of myelin sheath
D) Impaired Gas Exchange related to loss of respiratory muscle secondary to nerve root compression
Correct Answer:
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