Traumatic Brain and Spinal Cord Injury · NCLEX Exam

When a cervical SCI patient experiences pounding headache, blurred vision, and profuse sweating above the level of injury, what is the priority action if autonomic dysreflexia is suspected?

  1. Lie the patient flat and restrict fluids
  2. Sit patient upright, check urinary catheter for blockage, loosen clothing, monitor BP
  3. Administer analgesic only
  4. Ignore because it will resolve
Show answer and explanation

Correct answer: Sit patient upright, check urinary catheter for blockage, loosen clothing, monitor BP

Autonomic dysreflexia is an emergency requiring upright positioning, removal of trigger, and vital sign monitoring to lower BP.

Difficulty: Medium Question 20 of 20

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