Which treatment should be administered immediately to a client experiencing autonomic dysreflexia?

• A. Administer intravenous fluids
• B. Elevate the head of the bed to 90 degrees
• C. Apply a warm compress to the abdomen
• D. Encourage deep breathing exercises

Answer: (B)

Verified step by step guidance

1. Understand the condition: Autonomic dysreflexia is a potentially life-threatening condition that occurs in individuals with spinal cord injuries, typically 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 the symptoms: Common symptoms include severe hypertension, headache, flushed skin, sweating above the level of injury, and bradycardia. Recognizing these symptoms is crucial for prompt intervention.
3. Determine the immediate intervention: The primary goal is to reduce blood pressure and alleviate symptoms. Elevating the head of the bed to 90 degrees helps to lower blood pressure by promoting venous pooling in the lower extremities.
4. Consider additional interventions: After elevating the head, identify and remove the triggering stimulus, such as a full bladder or tight clothing, which can help resolve the dysreflexic episode.
5. Monitor and reassess: Continuously monitor the client's vital signs and symptoms. If the condition does not improve, further medical interventions may be necessary, such as pharmacological treatment to control blood pressure.