The nurse observing a client with autonomic dysreflexia would expect which of the following clinical manifestations?
Tachycardia and hypertension
Bradycardia and hypertension
Bradycardia and hypotension
Tachycardia and hypotension
The Correct Answer is B
A. Tachycardia does not occur with autonomic dysreflexia.
B. Autonomic dysreflexia is a life-threatening condition caused by a noxious stimulus (e.g., full bladder, constipation) in patients with spinal cord injuries above T6. It leads to severe hypertension and reflex bradycardia.
C. Hypotension is not a symptom; autonomic dysreflexia causes hypertension.
D. Tachycardia and hypotension are more associated with spinal shock rather than autonomic dysreflexia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtain a prescription for supplemental oxygen. – Correct Answer. Hypoxia must be corrected first to prevent tissue hypoxia and organ failure.
B. Obtain a prescription to administer intravenous fluids. – Incorrect. IV fluids are important but oxygenation is the priority.
C. Obtain a prescription to administer insulin. – Incorrect. Insulin corrects hyperglycemia but is not the first priority over oxygenation.
D. Obtain a prescription to check the patient’s glucose level. – Incorrect. While glucose monitoring is essential, treating hypoxia takes priority.
Correct Answer is D
Explanation
A. Stating "this is where you live now" may cause frustration.
B. Telling the patient it is safer does not acknowledge their emotions.
C. Mentioning family decisions may increase anxiety.
D. This approach validates the patient’s feelings and redirects the conversation without causing distress.
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