medium · NCLEX-RN Physiological Adaptation

A nurse is caring for a client with a suspected cervical spinal cord injury following a diving accident. At 1400, the client's vital signs are: BP 84/42 mm Hg, HR 46/min, and RR 20/min. The client is warm and dry to the touch.

Which mechanism explains this clinical pattern?

  1. Increased intracranial pressure causing Cushing's triad.
  2. Compensated hypovolemic shock from internal hemorrhage.
  3. Acute adrenal insufficiency following traumatic stress.
  4. Loss of sympathetic tone and autonomic pathway disruption.

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