Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
A 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
Preventing bladder distention avoids triggering autonomic dysreflexia, a common cause.