🧠NCLEX Question of the Day
A client with a T4 spinal cord injury suddenly reports a pounding headache and blurred vision. The nurse notes BP 210/112, heart rate 48, and flushing and sweating above the level of injury. What is the nurse's first action?
A) Give the prescribed PRN antihypertensive right away
B) Raise the head of the bed to a sitting position
C) Lay the client flat and elevate the legs
D) Check the bladder for distention with a bladder scan
Reply with your letter and a one-line rationale before you peek. The answer and rationale go up tonight at 8 PM ET.
What's your first action: A, B, C or D? Tell us why.
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