The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has complaints of inability to move both legs and reports a tingling sensation above the waistline. Which supplies does the nurse ensure are at the bedside?

Guillain-Barré syndrome is an acute autoimmune demyelinating disorder of the peripheral nervous system that typically presents with ascending symmetrical weakness, paresthesias, and diminished or absent reflexes. The condition can rapidly progress to involve respiratory muscles and autonomic dysfunction, making it a medical emergency. Continuous monitoring is essential because deterioration can occur quickly. Priority care focuses on early detection of respiratory failure and cardiovascular instability. A. Nasal cannula and incentive spirometer are supportive respiratory tools but are insufficient for managing potential rapid respiratory failure in Guillain-Barré syndrome. While oxygen supplementation may be needed, the primary concern is the potential need for advanced airway management rather than simple oxygen delivery or lung expansion exercises. B. Cardiac monitoring electrodes and an intubation tray are essential because Guillain-Barré syndrome can cause rapid respiratory muscle paralysis and autonomic instability. Continuous cardiac monitoring allows early detection of dysrhythmias and hemodynamic changes. An intubation tray ensures immediate airway protection if respiratory failure occurs, making this the highest priority preparation. C. Nebulizer and pulse oximetry may assist in assessing and treating oxygenation issues, but they do not address the high-risk complication of sudden respiratory muscle failure. In Guillain-Barré syndrome, the primary concern is airway protection and ventilatory support rather than bronchodilation therapy. These supplies are not sufficient for emergency preparedness. D. Blood pressure cuff and flashlight are useful for general assessment of vital signs and neurological status but do not address the life-threatening risks associated with Guillain-Barré syndrome. While monitoring blood pressure is important due to autonomic dysfunction, these tools alone do not prepare the nurse for potential respiratory arrest or the need for immediate intubation.