A patient who is being treated for stage IV lung cancer tells the nurse about new-onset back pain. Which action should the nurse take first?
a. Give the patient the prescribed PRN opioid.
b. Assess for sensation and strength in the legs.
c. Notify the health care provider about the symptoms.
d. Teach the patient how to use relaxation to reduce pain.
ANS: B
Spinal cord compression, an oncologic emergency, can occur with invasion of tumor into the epidural space. The nurse will need to assess the patient further for symptoms such as decreased leg sensation and strength and then notify the health care provider. Administration of opioids or use of relaxation may be appropriate but only after the nurse has assessed for possible spinal cord compression.
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