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The client is 3 months post T4 spinal cord injury. The patient is shaking and sweating profusely and complains of a pounding headache and nausea. His blood pressure is 170/100, pulse 50. Based on your knowledge of spinal cord injury your best response is to Group of answer choices Assume the patient is having a migraine headache. Assess for history of migraine and photophobia. Anticipate giving pain medication and an antiemetic. Assume the patient is going having an episode of autonomic hyperreflexia. Assess for bladder distension. Anticipate bladder catheterization. Assume the patient is going into septic shock. Assess for elevated temperature, elevated white cell count. Anticipate blood cultures and antibiotics. Assume the patient is in spinal shock. Assess neurological signs using ASIA scale. Anticipate giving methylprednisolone per
SCIENCE
HEALTH SCIENCE
NURSING

 
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