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    HESI RN Med surg proctored exam 2

    A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

    Explanation & Rationale

    Choice A reason: Hypotension and venous pooling are not typically associated with autonomic dysreflexia.Choice B reason: Pain and burning sensation upon urination may occur with urinary tract infections, not specifically autonomic dysreflexia.Choice C reason:The correct answer is c) because autonomic dysreflexia is characterized by severe, pounding headache, profuse sweating (diaphoresis), and hypertension due to an exaggerated autonomic response to a stimulus such as a full bladder.Choice D reason: Reports of chest pain and shortness of breath are not specific to autonomic dysreflexia.

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