Difficulty: Medium
Average Score: 84%
Simulated
Passage / Scenario
Client with a spinal cord injury suspected of autonomic dysreflexiaA nurse is caring for a client who has a spinal cord injury. The nurse suspects that the client has autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct answer
A
Rationale
If a nurse is caring for a client who has a spinal cord injury and suspects that the client has autonomic dysreflexia, the first action the nurse should take is to raise the head of the bed. This can help to lower the client's blood pressure and reduce the risk of complications such as stroke.