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. Administer antibiotics when available. – Correct Answer. Bacterial meningitis is a medical emergency. The priority is to start IV antibiotics as soon as possible to prevent complications such as sepsis, increased ICP, and neurological damage.
B. Reduce environmental stimuli. – Incorrect. While reducing stimuli helps with photophobia and headache, it is not the priority over immediate antibiotic therapy.
C. Document intake and output. – Incorrect. Monitoring fluid balance is important, but it does not directly treat the infection.
D. Maintain seizure precautions. – Incorrect. Seizure precautions are necessary, but rapid antibiotic administration takes precedence.
Correct Answer is D
Explanation
A. Peripheral edema is more common in heart failure, not polycythemia vera.
B. WBCs may be elevated, but RBC overproduction is the defining feature.
C. Orthopnea is associated with heart failure, not polycythemia vera.
D. Elevated hemoglobin is a hallmark of polycythemia vera due to excessive RBC production.
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