A client with a history of prostate cancer is in the clinic and reports new onset of severe low back pain. What action by the nurse is most important?
a. Assess the client's gait and balance.
b. Ask the client about the ease of urine flow.
c. Document the report completely.
d. Inquire about the client's job risks.
ANS: A
This client has manifestations of spinal cord compression, which can be seen with prostate cancer. This may affect both gait and balance and urinary function. For client safety, assessing gait and balance is the priority. Documentation should be complete. The client may or may not have occupational risks for low back pain, but with his history of prostate cancer, this should not be where the nurse starts investigating.
You might also like to view...
0.25 mg
What will be an ideal response?
Which of the following is not a definition of critical thinking?
a. making sense of our world by carefully examining our thinking and the thinking of others in order to clarify and improve our understanding b. the understanding of argument, recognizing fallacies, and distinguishing premises from conclusions c. thinking about your thinking while you're thinking in order to make your thinking better d. purposeful, outcome-directed thinking based upon a body of non-scientific knowledge derived from research and other courses of evidence
Which of the following functions of psychiatric–mental health nurses is both a basic and an advanced level function?
A) Psychobiologic interventions B) Case management C) Health teaching D) Community interventions
A client who has a history of a major myocardial infarction is taking digoxin. The nurse explains this medication helps increase cardiac output by:
1. Increasing the heart rate 2. Reducing the resistance of pulmonary circulation 3. Increasing the force of the myocardial contraction 4. Increasing cardiac conduction