Ati ew n300 med surg final proctored exam
The nurse assesses the patient with a spinal cord injury at the level of C-7 and finds warm, flushed skin with profuse sweating above the level of injury, and pale, cold skin below the level of injury. The patient is bradycardic, but severely hypertensive. What are the priority nursing interventions? Notify provider, and:
Explanation & Rationale
A. Acetaminophen and atropine are not the priority interventions in autonomic dysreflexia. B. Autonomic dysreflexia is triggered by noxious stimuli below the level of injury causing severe hypertension; identifying and removing the stimulus is critical, along with managing hypertension. C. IV fluids and oxygen may be supportive but do not address the underlying cause. D. Lowering the head of the bed may worsen hypertension; the head should be elevated to help reduce blood pressure.
🔒 Submit your answer to reveal
Your Progress
Correct0
Incorrect0
Skipped0
Accuracy0%