NCLEX-RN Autonomic Dysreflexia Cue Pattern Flashcards
Master 10 autonomic dysreflexia cue pattern concepts for the NCLEX-RN.
Question
Which specific spinal cord injury (SCI) level places a patient at risk for Autonomic Dysreflexia?
Question
Select the classic triad of vital sign changes and symptoms associated with Autonomic Dysreflexia:
Question
Distinguish the dermatological signs seen above versus below the level of injury during an episode:
Question
A client with a T4 SCI presents with a pounding headache and flushed face. Which assessment should the nurse perform FIRST to identify the most common cause?
Question
Aside from bladder distention, name one other noxious stimulus that can trigger Autonomic Dysreflexia.
Think about sources of pain or irritation below the level of injury.
Question
A client with a T5 injury reports a sudden severe headache. The nurse suspects Autonomic Dysreflexia. What is the PRIORITY nursing action?
Question
If the trigger cannot be identified or removed and the BP remains elevated, what class of medication is indicated?
Question
Why is untreated Autonomic Dysreflexia considered a life-threatening emergency? (Name the primary physiological risk).
Question
How can the nurse differentiate Autonomic Dysreflexia from Orthostatic Hypotension based on blood pressure?
Question
A patient with a T5 injury asks when they will no longer be at risk for Autonomic Dysreflexia. What is the correct nursing response?