Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What therapeutic approach is typically used for spinal cord compression (SCC)?

1. Observation

2. Medication for pain management

3. Only chemotherapy

4. Limit rest

The correct answer is: Medication for pain management

The therapeutic approach for spinal cord compression (SCC) that stands out is the use of medication for pain management. In cases of SCC, patients often experience significant pain due to neural compression, inflammation, or damage. Effective pain management is crucial as it not only alleviates discomfort but also enables patients to participate in vital assessments and interventions that may follow. In practice, medication can include corticosteroids, which help reduce inflammation and swelling around the spinal cord, thereby decreasing pain and preventing further neurological damage. Additionally, opioids and other analgesics are utilized to manage acute and chronic pain related to SCC. While observation is appropriate in certain cases, it is not a therapeutic approach for managing the acute complications of SCC. Chemotherapy alone is typically not sufficient, as it addresses cancer treatment rather than the immediate symptoms and complications arising from spinal cord compression. Limiting rest without a structured rehabilitation plan may not be beneficial, as patients often require mobility to maintain function and prevent complications from being immobile. Thus, medication for pain management plays a critical role in the comprehensive treatment of spinal cord compression, addressing the immediate symptoms while preparing for further therapeutic interventions.