A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge.

A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge.

Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:
A . Dizziness and tachypnea
B . Circumoral pallor and lightheadedness
C . Headache and facial flushing
D . Pallor and itching of the face and neck

View Answer

Answer: C

Explanation:

(A) Tachypnea is not a symptom.

(B) Circumoral pallor is not a symptom.

(C) Autonomic dysreflexia is an uninhibited and exaggerated reflex of the autonomic nervous system to stimulation, which results in vasoconstriction and elevated blood pressure.

(D) Pallor and itching are not symptoms.