Final answer:
For a client with Guillain-Barré Syndrome and ascending paralysis, it is crucial to have an intubation tray and suction apparatus readily available at the bedside due to the risk of respiratory failure (c).
Step-by-step explanation:
Guillain-Barré Syndrome and Bedside Preparations
When caring for a client with Guillain-Barré Syndrome (GBS) who also exhibits an ascending paralysis, it is critical to prepare for potential respiratory complications. The correct item to keep always ready at the bedside is an intubation tray and suction apparatus. This answer choice is essential due to the risk of respiratory failure as the paralysis ascends to affect the muscles responsible for breathing.
GBS is a condition that involves an autoimmune response leading to demyelination of nerve cells. In severe cases, this can progress to complete paralysis and respiratory muscle involvement, necessitating immediate action to ensure the patient's airways remain open and clear. Thus, having the necessary equipment for intubation and suctioning is a proactive measure to address one of the most critical complications associated with GBS.
An intubation tray includes various sizes of endotracheal tubes and laryngoscope, while suction apparatus is used to clear secretions that the patient may not be able to cough up due to weakened respiratory muscles. As GBS can lead to changes in heart rhythm and blood pressure, monitoring these vitals is also crucial, but in the setting of an ascending paralysis, respiratory support takes precedence.