If the Nurse Suspects a Spinal Cord Injury, the Patient

Multiple Choice

If the nurse suspects a spinal cord injury, the patient has developed autonomic dysreflexia. Which of the following assessments would confirm this complication? Select all that apply.

A) BP180/98
B) Skin covered with macular rash
C) Pulse rate 49
D) Complains of a pounding headache
E) Cold, cyanotic lower legs