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Daily #69 · Neurological · Archive

NCLEX-RN® question of the day

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The question

A patient with a complete cervical spinal cord injury develops a sudden drop in blood pressure to 82/50 mmHg, a heart rate of 48 beats per minute, and warm, flushed skin. The nurse recognizes these findings are most consistent with which pathophysiological explanation?

  1. Loss of sympathetic nervous system control below the injury level causes vasodilation and bradycardia.
  2. Increased parasympathetic tone is blocked by the injury, resulting in uncontrolled vasodilation.
  3. Elevated sodium levels from spinal cord inflammation cause fluid shifts leading to hypotension.
  4. Massive blood loss from the spinal injury causes compensatory tachycardia and peripheral vasoconstriction.

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