Given the main functions of the autonomic nervous system (ANS), which nursing action would be a priority consideration in providing care for clients with an autonomic dysfunction?
1. Providing information for urodynamic testing
2. Monitoring cardiac rhythms
3. Performing a mental status assessment
4. Administering antacids
Correct Answer: 2
Rationale 1: Providing information for urodynamic testing is important, but not a priority.
Rationale 2: The three main functions of the ANS are contraction of the bronchi, blood vessels, GI tract, eye, and genitourinary tract; contraction of cardiac muscle; and secretion of salivary, sweat, and gastric glands. The potential for cardiac arrhythmias in clients with autonomic dysfunction warrants close monitoring.
Rationale 3: Performing a mental status assessment is important, but not a priority.
Rationale 4: Administering antacids is important, but not a priority.
Global Rationale: The three main functions of the ANS are contraction of the bronchi, blood vessels, GI tract, eye, and genitourinary tract; contraction of cardiac muscle; and secretion of salivary, sweat, and gastric glands. The potential for cardiac arrhythmias in clients with autonomic dysfunction warrants close monitoring. Providing information for urodynamic testing is important, but not a priority. Performing a mental status assessment is important, but not a priority. Administering antacids is important, but not a priority.
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