A nurse is caring for a client who sustained a spinal cord

A nurse is caring for a client who sustained a spinal cord injury. The client is
reporting a severe headache and has a blood pressure of 160/110 mm Hg. Which of
the following should the nurse do first?
A. Notify the primary care provider.
B. Monitor blood pressure every 15 min.
C. Check for urinary bladder distention.
D. Administer a prescribed analgesic.

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