Difficulty: Medium
Average Score: 88%
Simulated
A nurse is caring for a client who has a spinal cord injury at the first thoracic level. Which of the following should the nurse recognize can trigger autonomic dysreflexia? (Select All that Apply.)
Correct answer
A,B,D,E
Rationale
Sexual intercourse, tight clothing, surgery below the injury, and urinary tract infections can stimulate areas below the spinal cord injury, triggering autonomic dysreflexia. Nausea is a symptom, not a trigger, of this condition.