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a 22-year-old client with quadriplegia in supine position is apprehensive and flushed, with a blood pressure of 210/100 mmhg and heart rate of 50 bpm. which nursing intervention should be done first?

Sagot :

The first nursing intervention should be to raise the head of the bed immediately to 90 degrees.

What is quadriplegia?

Quadriplegia, also known as tetraplegia, is a form of paralysis that affects all four limbs and the torso. It is usually caused by a spinal cord injury, stroke, or disease and can cause significant difficulties with movement, as well as difficulties with sensation and autonomic functions.

Anxiety, flushing above the level of the lesion, piloerection, hypertension, and bradycardia are all indications of autonomic dysreflexia, which is usually triggered by unpleasant stimuli like a full bladder, faecal impaction, or a decubitus ulcer. Putting the client down will raise his blood pressure even further. The indwelling urinary catheter should be evaluated as soon as the HOB is raised. Nitroglycerin is used to treat chest discomfort and lower preload; it is not utilized to treat hypertension or dysreflexia.

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