When Caring for a Patient Who Has Guillain-Barré Syndrome, Which

When caring for a patient who has Guillain-Barré syndrome, which assessment data obtained by the nurse will require the most immediate action?

A) The patient has continuous drooling of saliva.
B) The patient's blood pressure (BP) is 106/50 mm Hg.
C) The patient's quadriceps and triceps reflexes are absent.
D) The patient complains of severe tingling pain in the feet.

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