Question

A client with a C-7 spinal cord injury is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

A. An acutely distended bladder
B. Profuse forehead diaphoresis
C. Skeletal traction misalignment
D. A severe pounding headache

Answer 1

To address autonomic dysreflexia in a client with a C-7 spinal cord injury, the nurse should first look for an acutely distended bladder, as it's a common trigger.

Step-by-step explanation:

In the case of a client with a C-7 spinal cord injury who is experiencing autonomic dysreflexia, the nurse should first assess for an acutely distended bladder. Autonomic dysreflexia is a condition where there is an overreaction of the autonomic nervous system to stimulation, which can be life-threatening if not addressed promptly. An overfull bladder is a common precipitating factor for this reflex in individuals with spinal cord injuries, as the normal sensations and control that notify a person when to empty the bladder are disrupted. It is crucial to identify and alleviate the cause to prevent complications, including severe hypertension.