Mr. White is a 17-year-old male who was injured in a snowboarding accident 3 weeks ago. He sustained a vertebral fracture and complete spinal cord injury at T7. His fracture has been stabilized with rods and screws. The plan is for him to be discharged home in 3 days with home health and family care. The CNA reports to you that the bath has been completed, there was no BM or incontinence of urine. However, Mr. White's blood pressure has risen to 189/100 with a heart rate of 56. You immediately go to the room to check on Mr. White. What things should you assess in order to determine the problem? (Select all that apply, one, some or all)

Rationale: A. The patient is experiencing hypertension (BP 189/100) and bradycardia (HR 56), which are classic signs of autonomic dysreflexia, not hypotension or tachycardia. Therefore, looking for tachycardia and low BP would not identify the cause. B. While imaging is important for fracture management, the acute presentation of severe hypertension and bradycardia in a patient with a T6 or above spinal cord injury is most often due to autonomic dysreflexia triggered by a noxious stimulus below the injury. Imaging is not the immediate priority in this scenario. C. A detailed assessment is needed to identify any triggers of autonomic dysreflexia, such as bladder distention, constipation, or infection. Vital signs, temperature, and symptom assessment (e.g., headache, flushing, sweating, nasal congestion) are essential to guide immediate interventions. D. Most cases of autonomic dysreflexia are triggered by bladder distention, bowel impaction, or skin irritation (pressure ulcers, tight clothing, or injury). Rapid identification and removal of the trigger is critical to lower blood pressure and prevent complications such as stroke, seizures, or retinal hemorrhage.