Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

A patient who sustained a spinal cord injury 48 hours ago presents with diaphoresis, flushed face and neck, and severe headache. Further assessment reveals bradycardia and severe hypertension. The patient is most likely experiencing:
  1. Autonomic dysreflexia
  2. Pulmonary embolism
  3. Malignant hypertension
  4. Spinal shock
Explanation
Answer - A - Based on the findings, the patient is having autonomic dysreflexia. Developing severe headache, flushed face and neck, bradycardia, and severe hypertension about 24 to 48 hours after a spinal cord injury indicates autonomic dysreflexia.
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