Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

Which is a relative indication for surgery in treating spinal tumors?

1. Duration of loss of ambulation less than 48 hours

2. Multiple vertebral levels affected

3. Intractable pain

4. Poor performance status

The correct answer is: Intractable pain

In the context of treating spinal tumors, intractable pain serves as a relative indication for surgery because it signifies a significant impact on a patient’s quality of life and daily functioning. The presence of persistent, severe pain that cannot be controlled by medication may suggest that the tumor is causing debilitating symptoms such as nerve compression or instability in the spine. Surgical intervention can offer relief from pain by addressing the underlying cause, which may include decompression of the neural structures or stabilization of the spine. When considering the need for surgical intervention, patient comfort and functional capacity are critical factors. Intractable pain may necessitate timely surgery, especially when conservative treatments fail to provide adequate relief, demonstrating the importance of managing symptoms effectively in oncology care.