hard · NCLEX-RN Basic Care and Comfort

The nurse is caring for a client with acute lower back pain. Which findings should the nurse identify as 'Red Flags' requiring immediate escalation? Select all that apply.

  1. Sudden loss of sensation in the 'saddle' area (perineum and inner thighs).
  2. A request for a heating pad to manage muscle spasms.
  3. Pain that increases when moving from a sitting to a standing position.
  4. New onset of urinary incontinence or inability to void.
  5. Bilateral lower extremity weakness that is rapidly progressing.

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