A patient with chronic low back pain develops numbness around the buttocks and new difficulty passing urine. Which action should the nurse take first?
Correct answer: C. Report the findings immediately to the provider
- A. Encourage bed rest for the next 24 hours
- B. Apply a warm pack to the lower back
- C. Report the findings immediately to the provider
- D. Teach the patient to perform back-strengthening exercises
Explanation
Saddle numbness with urinary difficulty suggests possible cauda equina compression, which can cause permanent neurological damage. This urgent safety problem takes priority over comfort measures, rest, or exercise teaching.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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