Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal cord injury.
A)Giving the client his PRN dose of oxazepam (Serax) before the muscle spasms begin
B)Maintaining the patency of the Foley catheter
C)Keeping the client in the sitting position as much as possible
D)Monitoring the client's electrolyte levels

Question

Quizplus · Accepted Answer

Autonomic dysreflexia can be triggered by a full bladder or bowel. Keeping the Foley catheter patent and emptying the bladder regularly can help prevent this condition. Giving oxazepam can help relieve muscle spasms and is not directly related to preventing autonomic dysreflexia. Keeping the client in a sitting position can be helpful in managing autonomic dysreflexia but is not a preventative measure. Monitoring electrolyte levels is important for overall patient care but does not directly prevent autonomic dysreflexia.

Identify the Nursing Action That Best Prevents Autonomic Dysreflexia in a Client