A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A. Hypotension: Clients with cervical spinal cord injuries are at risk for neurogenic shock, which disrupts sympathetic nervous system output. This results in peripheral vasodilation, leading to hypotension and bradycardia, especially in injuries above T6. B. Polyuria: Polyuria is not typically associated with acute cervical spinal cord injuries. Spinal cord injuries can sometimes lead to issues with bladder control, such as urinary retention or neurogenic bladder, which may manifest as overflow incontinence, not typically polyuria. C. Hyperthermia: Cervical spinal cord injuries can impair thermoregulation due to autonomic nervous system disruption. The body may have difficulty sweating or adjusting blood flow to the skin, which can result in hyperthermia, especially in warm environments. D. Absence of bowel sounds: Neurogenic shock and loss of autonomic regulation can lead to decreased gastrointestinal motility, resulting in paralytic ileus. This may present as absent or hypoactive bowel sounds in the acute phase of injury. E. Weakened gag reflex: High cervical spinal cord injuries can impair cranial nerve function and compromise airway protective reflexes. A weakened gag reflex increases the risk of aspiration and may require airway protection through intubation or suctioning.