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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:


1. Blood Pressure: Sudden, severe 2. Symptom: Pounding 3. Heart Rate:

Question

Distinguish the dermatological signs seen above versus below the level of injury during an episode:


Above level of injury: and diaphoresis. Below level of injury: and piloerection.

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?