Difficulty: Medium
Average Score: 66%
Simulated
Passage / Scenario
Client with a spinal cord injury at T-4A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct answer
C
Rationale
To prevent autonomic dysreflexia, the nurse should take the intervention of preventing bladder distention. Autonomic dysreflexia is a serious medical problem that can happen if a person has injured the spinal cord in their upper back. It makes their blood pressure dangerously high and can lead to a stroke, seizure, or cardiac arrest.