HESI RN Med Surg Adult Health | Nurselytic

Questions 44

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HESI RN Med Surg Adult Health Questions

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Question 1 of 5

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

Correct Answer: C

Rationale: Profuse diaphoresis and a severe, pounding headache are hallmark signs of autonomic dysreflexia, which occurs in individuals with spinal cord injuries at or above T6 due to an exaggerated autonomic response to stimuli like a full bladder, causing severe hypertension and related symptoms.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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