nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as a trigger that the client is going to experience autonomic dysreflexia symptoms?

The client's blood pressure becomes elevated.

The client states having a severe headache.

The client states having nasal congestion.

The client's bladder becomes distended.

Answer and Explanation

The Correct Answer is D

A. Elevated blood pressure is a sign of autonomic dysreflexia, not the trigger.
B. Severe headache is also a symptom, not the cause.
C. Nasal congestion is another clinical manifestation, not a trigger.
D. A full bladder is a common trigger for autonomic dysreflexia in clients with spinal cord injuries at or above the T6 level. This condition is a medical emergency caused by noxious stimuli below the level of injury.

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Correct Answer is A

Explanation

A. Cardioversion. For stable clients with ventricular tachycardia who have a pulse, synchronized cardioversion is the preferred treatment.

B. Radiofrequency catheter ablation is a longer-term treatment option for recurrent VT but is not an immediate intervention.

C. Defibrillation is used for pulseless VT or ventricular fibrillation, not for stable VT with a pulse.

D. CPR is required if the client is pulseless or in cardiac arrest, which is not indicated here.

A. Pacemaker B. Alcohol use disorder C. Breast cancer survivor for 8 years D. 65-years of age

Correct Answer is B

Explanation

A. Having a pacemaker is not an absolute contraindication for kidney transplant, though it requires careful evaluation.
B. Active substance abuse, including alcohol use disorder, is generally considered a contraindication for kidney transplantation due to concerns about adherence to medical regimens and potential for complications.
C. Being a breast cancer survivor for 8 years is usually not a contraindication if the client has been cancer-free for a significant period and is deemed stable.
D. Age 65 years is not an absolute contraindication; many older adults can be candidates for transplant based on overall health status rather than age alone.

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nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as a trigger that the client is going to experience autonomic dysreflexia symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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