A Patient with a T2 Spinal Cord Injury Is Beginning

A patient with a T2 spinal cord injury is beginning intensive rehabilitation.One morning as the nurse prepares to assist her to transfer to the wheelchair,the patient tells the nurse that she does not feel like getting up,that she has a throbbing headache,and that she is slightly nauseated.What is it most important that the nurse do?

A) Notify the physician.
B) Check the patient's blood pressure.
C) Tell her she will feel better if she sits upright in her wheelchair.
D) Do a digital rectal examination for the presence of an impaction.