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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?

A.

Hypertension with bradycardia

B.

Hypotension with tachycardia

C.

Hypertension with tachycardia

D.

Hypotension with bradycardia

Answer and Explanation

The Correct Answer is A

A. Hypertension with bradycardia is characteristic of autonomic dysreflexia due to the exaggerated sympathetic response causing increased blood pressure while the body compensates with bradycardia.  

 

B. Hypotension with tachycardia is not indicative of autonomic dysreflexia; instead, it suggests different underlying issues.  

 

C. While hypertension can occur in autonomic dysreflexia, it is typically accompanied by bradycardia, not tachycardia.  

 

D. Hypotension with bradycardia does not correlate with autonomic dysreflexia and suggests other health complications.


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View Related questions

Correct Answer is A

Explanation

A. In SIADH, excess ADH causes water retention and hyponatremia; fluid restriction helps to prevent further dilution of sodium and manage fluid balance.

B. NPO status is unnecessary unless otherwise indicated; managing fluid intake is more effective.

C. Increasing oral intake would worsen fluid overload and hyponatremia.

D. Rapid IV fluid infusion can exacerbate the client’s condition by increasing fluid volume further.

Correct Answer is ["A","C","D"]

Explanation

A. Elevating the head of the bed to 30-45 degrees helps facilitate venous drainage from the brain, thereby reducing ICP.

B. Administering intravenous fluids rapidly is not appropriate, as it can lead to fluid overload and increase ICP.

C. Keeping the client in a calm and quiet environment minimizes stimulation, which can contribute to increased ICP.

D. Administering morphine sulfate as prescribed can provide pain relief, which may help decrease ICP since pain can contribute to increased intracranial pressure.

E. The Valsalva maneuver increases intrathoracic pressure and can lead to increased ICP, making it contraindicated in this scenario.

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