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ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions

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Question 1 of 5

A nurse is caring for a client who has quadriplegia due to 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. What should the nurse prioritize as the initial action?

Correct Answer: B

Rationale: Checking for a full bladder is the priority because bladder distension is a common trigger for autonomic dysreflexia in clients with spinal cord injuries, and relieving it can reduce the severe hypertensive response.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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