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Exam NCLEX-PN topic 6 question 19 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 19
Topic #: 6
[All NCLEX-PN Questions]

A client with a spinal cord injury is preparing to return home from the rehabilitation unit. Which of the following statements by a family member indicates a need for further teaching regarding autonomic dysreflexia?

  • A. "I should raise him to a sitting position."
  • B. "I should check for a fecal impaction."
  • C. "I should look for a kink in the urinary catheter tubing."
  • D. "I should see whether symptoms worsen."
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Suggested Answer: D 🗳️
If the client develops signs or symptoms of autonomic dysreflexia, they need to be addressed immediately. If the family member is not able to relieve them, a health care provider needs to be notified immediately. The remaining choices are correct; they are all ways to relieve autonomic dysreflexia. Reduction of Risk
Potential

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