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A nurse is caring for a patient who has cervical spinal cord injury sustained 1 month ago. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia (AD)?

A. Temperature 38.8°C or 102°F
B. Systolic blood pressure 70 mmHg
C. Heart rate 52/min
D. Respiratory rate 8/min

User Selmaril
by
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1 Answer

3 votes

Final answer:

B. Systolic blood pressure 70 mmHg. The manifestation that indicates the client is experiencing autonomic dysreflexia (AD) is a sudden increase in blood pressure, causing a systolic blood pressure as low as 70 mmHg to increase dramatically.

Step-by-step explanation:

In a patient with cervical spinal cord injury, manifestations of autonomic dysreflexia (AD) can include a sudden increase in blood pressure, known as hypertensive crisis, which can cause a systolic blood pressure as low as 70 mmHg to increase dramatically. Therefore, option B. Systolic blood pressure 70 mmHg is the manifestation that indicates the client is experiencing autonomic dysreflexia (AD).

User Dunbarx
by
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