Which priority intervention should the nurse anticipate in the patient admitted with cauda equine syndrome?
A) Prepare patient for urgent surgery.
B) Place the patient on complete bedrest.
C) Obtain equipment for skin traction.
D) Obtain a physical therapy consult.
A) Prepare patient for urgent surgery.
Explanation: A) Compression of the nerve roots of the cauda equina can lead to cauda equina syndrome (CES), which may result in permanent neurologic impairment, including urinary incontinence and paralysis. Causes of CES include massive lumbar disc herniation, spinal stenosis, epidural hematoma, epidural abscess, and trauma. CES is a medical emergency. Immediate surgery should be performed to relieve pressure on the nerves.
B) Compression of the nerve roots of the cauda equina can lead to cauda equina syndrome (CES), which may result in permanent neurologic impairment, including urinary incontinence and paralysis. Causes of CES include massive lumbar disc herniation, spinal stenosis, epidural hematoma, epidural abscess, and trauma. CES is a medical emergency. Immediate surgery should be performed to relieve pressure on the nerves.
C) Compression of the nerve roots of the cauda equina can lead to cauda equina syndrome (CES), which may result in permanent neurologic impairment, including urinary incontinence and paralysis. Causes of CES include massive lumbar disc herniation, spinal stenosis, epidural hematoma, epidural abscess, and trauma. CES is a medical emergency. Immediate surgery should be performed to relieve pressure on the nerves.
D) Compression of the nerve roots of the cauda equina can lead to cauda equina syndrome (CES), which may result in permanent neurologic impairment, including urinary incontinence and paralysis. Causes of CES include massive lumbar disc herniation, spinal stenosis, epidural hematoma, epidural abscess, and trauma. CES is a medical emergency. Immediate surgery should be performed to relieve pressure on the nerves.
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