hard · NCLEX-RN Physiological Adaptation
The nurse plans emergency care for the client. Which interventions should be included in the care plan? Select all that apply. Apply the response specifically to this case: metastatic cancer with new back pain, leg weakness, sensory change, and urinary retention requiring recognition and time-critical treatment of malignant spinal cord compression.
- Administer high-dose intravenous dexamethasone as prescribed.
- Maintain the client on flat bedrest and use logrolling for repositioning.
- Obtain oncology and radiation oncology consults immediately.
- Encourage the client to ambulate in the hallway with a walker to prevent functional decline.
- Apply a warm heating pad directly to the thoracic spine to relieve localized back pain.
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