A client who suffered a spinal cord injury several months ago has developed a flushed face and blurr vision. The nurse notes the blood pressure to be 230/105 mmHg. What is the nurse's first action?
O Perform bilateral carotid massage.
O Palpate the area over the bladder for distention.
O Place the client in Trendelenburg position.
O Administer oxygen via nasal canula.