问题
单项选择题
The nurse assesses the client to determine the cause of autonomic dysreflexia. Which of the following is the most common stimulus for an autonomic dysreflexia episode()
A. Rising intracranial pressure.
B. Bowel distention.
C. Bladder distention.
D. Anxiety.
答案
参考答案:C
解析:
The dysreflexia occurs from a sympathetic response to autonomic nervous system stimulation. A distended bladder is the most common cause. After placing the client in Fowler’s position, the nurse should check the urinary catheter for patency.