A patient who suffered a spinal cord injury is experiencing an exaggerated autonomic response. What aspect of the patient's current health status is most likely to have precipitated this event?

A) The patient received a blood transfusion.
B) The patient's analgesia regimen was recent changed.
C) The patient was not repositioned during the night shift.
D) The patient's urinary catheter became occluded.


Ans: D
Feedback:
A distended bladder is the most common cause of autonomic dysreflexia. Infrequent positioning is a less likely cause, although pressure ulcers or tactile stimulation can cause it. Changes in mediations or blood transfusions are unlikely causes.

Nursing

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