Difficulty: Medium
Average Score: 68%
Simulated
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
Correct answer
C
Rationale
The correct answer is C because autonomic dysreflexia causes hypertension, diaphoresis, and headache due to stimuli like a full bladder. Choice A is opposite (hypotension). Choice B suggests infection, not dysreflexia. Choice D is unrelated.