A Patient with a Spinal Cord Injury at T3-T4 Experiences

question 43

Multiple Choice

A patient with a spinal cord injury at T3-T4 experiences a sudden increase in blood pressure (BP) and has cool,pale,gooseflesh skin on the lower extremities.What should the nurse do while awaiting physician orders? (Select all that apply.)

• A) Monitor BP every 5 minutes.
• B) Place the patient in supine position.
• C) Place elastic stockings on the patient's legs.
• D) Check to see if the indwelling catheter is patent.
• E) Perform a rectal examination to determine if impaction is present.

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