ATI Medical Surgical

ATI RN

ATI Medical Surgical

Difficulty: Medium Average Score: 78% Simulated

A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

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