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A nurse is caring for a client 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. Decreased heart rate.
b. Elevated blood pressure.
c. Constricted pupils.
d. Increased respiratory rate.

User Dwestbrook
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1 Answer

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Final answer:

Autonomic dysreflexia manifests with symptoms like sudden high blood pressure, headache, and sweating above the injury, not just increased respiratory rate. Understanding the autonomic nervous system and cardiovascular center is crucial in healthcare.

Step-by-step explanation:

A client experiencing autonomic dysreflexia (AD) after a cervical spinal cord injury would exhibit symptoms such as sudden high blood pressure, pounding headache, sweating above the level of injury, goosebumps, blurred vision, and nasal congestion. An increased respiratory rate alone does not typically indicate AD; more specific symptoms related to autonomic disturbance are usually present. Health care providers must be skilled in assessing for AD signs due to the potential severity of this condition.

Understanding the autonomic nervous system (ANS) is essential in medical practice, particularly concerning cardiovascular diseases, where autonomic tone plays a crucial role. Knowledge of the ANS also aids in assessing conditions like Horner's syndrome, where autonomic dysfunction manifests in ocular and facial symptoms. Finally, comprehension of the cardiovascular center and its regulation of heart rate and blood vessel tone can inform the evaluation and treatment of various cardiovascular states.

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