Spinal cord injury

A client is admitted to the emergency room with a spinal cord injury. The client is complaining of lightheadedness, flushed skin above the level of the injury, and headache. The client’s blood pressure is 160/90 mm Hg. Which of the following is a priority action for the nurse to take?

• A. Loosen tight clothing or accessories
• B. Assess for any bladder distention
• C. Raise the head of the bed
• D. Administer antihypertensive