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?

Lower the client's legs.

Check for a full bladder.

Administer a nitrate antihypertensive.

Administer pain medication.

Answer and Explanation

The Correct Answer is B

A. Lowering the client's legs is not effective in managing autonomic dysreflexia and may not alleviate the cause of the high blood pressure.
B. 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.
C. Antihypertensives may be used if non-pharmacological measures fail, but addressing the cause is the first action.
D. Pain medication is not indicated as the immediate intervention for autonomic dysreflexia, as the priority is identifying and removing the trigger.

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Correct Answer is B

Explanation

A. Profound hypocalcemia is not associated with hyperthyroidism; it is more common in hypoparathyroidism.
B. Thyroid Storm is a life-threatening complication of hyperthyroidism, characterized by high fever, tachycardia, hypertension, and altered mental status. It requires immediate medical intervention to prevent serious outcomes.
C. Diabetes Insipidus is unrelated to hyperthyroidism and typically occurs due to antidiuretic hormone dysfunction.
D. Severe hypotension is not a typical complication of hyperthyroidism; rather, hypertension is more likely due to increased metabolic rate and cardiac output.

A. Hypertension B. Family history C. Obesity D. Wearing sunglasses E. Increasing age

Correct Answer is ["A","B","C","E"]

Explanation

A. Hypertension has been associated with an increased risk of cataract development due to vascular changes that may affect the eye’s lens.
B. A family history of cataracts increases an individual's risk, as there may be a genetic predisposition to developing the condition.
C. Obesity is linked to cataracts, possibly due to metabolic effects that affect lens clarity over time.
E. Increasing age is a well-established risk factor for cataracts, as natural aging processes lead to changes in lens transparency.
D. Wearing sunglasses protects against UV exposure, which can lower the risk of cataracts, making it a preventive measure rather than a risk factor.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client newly diagnosed with hyperthyroidism. The nurse recognizes that which of the following is a potential severe complication of hyperthyroidism?

Correct Answer is B

Explanation

A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.

Correct Answer is ["A","B","C","E"]

Explanation

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A nurse is assessing a client with autonomic dysreflexia. The nurse correlates which clinical manifestations to autonomic dysreflexia in a client with a spinal cord injury?

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