A nurse assesses a client with a spinal cord injury at level T5.The client's blood pressure is 184/95 mm Hg,and the client presents with a flushed face and blurred vision.Which action should the nurse take first?

Question

Quizplus · Accepted Answer

The client is manifesting symptoms of autonomic dysreflexia.Common causes include bladder distention,tight clothing,increased room temperature,and fecal impaction.If persistent,the client could experience neurologic injury.Precipitating conditions should be eliminated and the physician notified.The other actions would not be appropriate.

A Nurse Assesses a Client with a Spinal Cord Injury