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)