Difficulty: Medium
Average Score: 75%
Simulated
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct answer
C,A,D,B
Rationale
Upright positioning (C) reduces blood pressure, checking bladder (A) addresses triggers, antihypertensives (D) manage hypertension, and documentation (B) follows treatment.