A client with a T6 injury six months ago develops facial flushing and a BP of 210/ After elevating the head of the bed which is the most appropriate nursing action?

The client is experiencing autonomic hyperreflexia which can be caused by a full bowel or bladder or a wrinkled sheet. Answer A is not the appropriate action before performing the assessment of the bladder; answers C and D are not appropriate actions in this situation.

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