NCLEX-PN

Category - Physiological Adaptation

The nurse is assigned to monitor a client who was admitted due to prostate cancer. The nurse alerts the RN that a compression of the spinal cord may be developing when the client complains of which of the following signs?
  1. Urinary incontinence
  2. Muscle cramps in the lower extremities
  3. An escalating back pain when lying down
  4. Fecal incontinence
Explanation
Answer: C - Advanced stage prostate cancer increases the risk for spinal cord compression. Back pain that worsens when lying down and improves when standing up is an early sign of spinal cord compression. The other signs are seen in spinal compression, but they are not early indicators of the complication.
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