What is the nurse's priority action for a client with spinal cord injury develops autonomic dysreflexia?

Question

Accepted Answer

C. sit the client upright and search for the triggering stimulus — Immediate measures for autonomic dysreflexia include sitting the client upright and removing the trigger, such as a kinked catheter or impaction.

Answer

A. perform vigorous range-of-motion exercises

Answer

B. delay action until the blood pressure is rechecked in 30 minutes

Answer

D. lay the client flat and cover with blankets