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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Obtain a walker for ambulation

Apply a diaper

Insert a Foley catheter

Notify the physician

Answer and Explanation

The Correct Answer is D

A. Obtaining a walker does not address the acute neurological symptoms.

B. Applying a diaper addresses the incontinence but not the underlying cause.

C. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation.

D. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.

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Correct Answer is C

Explanation

A. "Pain comes and goes all night long" is a description of pain pattern, not a precipitating factor.

B. Dizziness and nausea are associated with pain but are not directly related to a precipitating factor.

C. This statement suggests that eating breakfast may be a precipitating factor for pain, indicating that the pain may be related to digestive or gastrointestinal issues, such as acid reflux or ulcers.

D. Describing the pain as "sharp" gives details of pain quality but not a precipitating factor.

A. "Avoid foods high in fiber." B. "Be sure to plenty of fluids in your diet." C. Take your prescribed stool softener with your morning medications." D. "Limit activity because you will be dizzy from the medication" E. "Take the opioid with a full 8 ounce glass of water and be sure to sit upright for at least 30 minutes after."

Correct Answer is ["B","C","E"]

Explanation

A. A diet high in fiber is important to prevent constipation, a common side effect of opioid use.

B. Adequate fluid intake helps to prevent dehydration and constipation.

C. Taking a stool softener daily can help mitigate the constipating effects of opioids.

D. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions.

E. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.

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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

Correct Answer is C

Explanation

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Correct Answer is ["B","C","E"]

Explanation

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The nurse is presenting a community health program on fracture risk reduction. Which topics should be included? (SELECT ALL THAT APPLY)

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?