Which nursing intervention can prevent a client from experiencing autonomic dysreflexia?

• A. Ensuring the bladder is regularly emptied
• B. Administering sedatives to reduce anxiety
• C. Encouraging a high-sodium diet
• D. Applying cold compresses to the forehead

Answer: (A)

Verified step by step guidance

1. Understand the condition: Autonomic dysreflexia is a potentially life-threatening condition that can occur in individuals with spinal cord injuries, particularly those at or above the T6 level. It is characterized by an exaggerated response of the autonomic nervous system to stimuli below the level of injury.
2. Identify common triggers: Common triggers for autonomic dysreflexia include bladder distension, bowel impaction, skin irritation, or other noxious stimuli. These triggers cause a reflex action that leads to a sudden increase in blood pressure.
3. Evaluate the options: Consider which nursing intervention directly addresses a common trigger of autonomic dysreflexia. Regularly emptying the bladder can prevent bladder distension, which is a known trigger.
4. Analyze the effectiveness of each option: Administering sedatives may reduce anxiety but does not address the physical triggers of autonomic dysreflexia. Encouraging a high-sodium diet or applying cold compresses do not directly prevent the condition.
5. Conclude with the most effective intervention: Ensuring the bladder is regularly emptied is a proactive measure to prevent bladder distension, thereby reducing the risk of autonomic dysreflexia in clients with spinal cord injuries.