The Nurse Is Caring for a Client Who Has Guillain-Barré

The nurse is caring for a client who has Guillain-Barré syndrome. Which of the following assessment data obtained by the nurse will require the most immediate action?

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

Correct Answer:

Verified

Show Answer