Client diagnosed with guillain-barre syndrome

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A nurse utilizes the Braden Scale to assess and document the pressure sore risk of a client diagnosed with Guillain-Barré syndrome. 0900 Nursing Documentation: Bedfast client with paresthesia progressing legs to the midsection of the body. Reports muscle weakness of the lower and upper limbs. Unable to reposition self in bed. Incontinent of urine and stool. The client is receiving adequate caloric intake by tube feeding. Based on this nursing documentation, what score should the nurse assign to this client?

Reference no: EM133759926

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