Posted by: Pdfprep
Post Date: November 28, 2020
A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge.
Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:
A . Dizziness and tachypnea
B . Circumoral pallor and lightheadedness
C . Headache and facial flushing
D . Pallor and itching of the face and neck
Answer: C
Explanation:
(A) Tachypnea is not a symptom.
(B) Circumoral pallor is not a symptom.
(C) Autonomic dysreflexia is an uninhibited and exaggerated reflex of the autonomic nervous system to stimulation, which results in vasoconstriction and elevated blood pressure.
(D) Pallor and itching are not symptoms.
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