Difficulty: Medium
Average Score: 66%
Full-length
The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?
Correct answer
A
Rationale
A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (B), spasticity (C), and numbness (D) are expected or less urgent.