Difficulty: Medium
Average Score: 72%
Simulated
The nurse is caring for the client with an SCI at the level of the sixth cervical vertebra. Which findings support the nurseÔÇÖs conclusion that the client may be experiencing autonomic dysreflexia? Select all that apply.
Correct answer
A,B,D,E
Rationale
Blurred vision results from the hypertension occurring with autonomic dysreflexia. Hypertension is a symptom of autonomic dysreflexia from overstimulation of the sympathetic nervous system (SNS). Bradycardia (not tachycardia) results from autonomic dysreflexia; the parasympathetic nervous system attempts to maintain homeostasis by slowing down the HR. Headache results from the hypertension occurring with autonomic dysreflexia. Sweating results from the sympathetic stimulation above the level of injury.