Certified Rehabilitation Registered Nurse (CRRN)

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A CRRN identifies that a patient with T4 SCI is experiencing autonomic dysreflexia. The patient's BP is 195/110 mmHg. Which is the PRIORITY intervention?

Administer sublingual nifedipine immediately Sit the patient upright, loosen constrictive clothing, and identify/remove the noxious stimulus Lay the patient flat to improve cerebral perfusion Apply a cooling blanket to reduce fever

Correct Answer:

Sit the patient upright, loosen constrictive clothing, and identify/remove the noxious stimulus

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