In a client with acute Guillain-Barré syndrome, which assessment is the priority?

In a client with acute Guillain-Barré syndrome, the priority assessment is respiratory exchange. This condition can lead to progressive weakness and potentially result in respiratory muscle paralysis, which poses an immediate threat to the patient’s ability to breathe effectively. Monitoring respiratory status, including the assessment of breathing patterns and oxygenation levels, is critical because respiratory failure can occur rapidly in this population. Prompt recognition of respiratory compromise allows for timely intervention, such as mechanical ventilation if necessary, thereby preventing serious complications including hypoxia and respiratory arrest.

While other assessments, such as neurological status, urinary output, and sensation to touch, are important in managing Guillain-Barré syndrome, they do not carry the same level of immediate urgency regarding the threat to life that respiratory issues do.