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Daily #28 · Neurological · Archive

NCLEX-RN® question of the day

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The question

A patient is admitted to the emergency department after a diving accident and is diagnosed with a cervical spinal cord injury. The nurse notes the patient's blood pressure is 82/50 mmHg, heart rate is 54 beats/minute, and skin is warm and dry below the level of injury. Which physiological explanation best accounts for these findings?

  1. Hemorrhage from the spinal injury causes hypovolemia and compensatory tachycardia
  2. Increased sodium retention leads to fluid shifts and decreased cardiac output
  3. Excessive parasympathetic stimulation above the injury level triggers a hypertensive crisis
  4. Loss of sympathetic nervous system control below the injury level causes vasodilation and bradycardia

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