A client with metastatic prostate cancer reports new mid-back pain, bilateral leg weakness, and difficulty starting urination. Which actions are immediate priorities? Select all that apply.

Malignant spinal cord compression is an oncologic emergency. Function preservation depends on hours: high-dose dexamethasone is given empirically when suspicion is high, BEFORE imaging if delay is anticipated. The whole spine is imaged because skip lesions are common. Radiation oncology or neurosurgery must be consulted urgently. Strict bedrest with logroll prevents further mechanical compression until stability is documented. Urinary retention is a sign of autonomic involvement and must be assessed. Outpatient follow-up is INAPPROPRIATE — irreversible paralysis can occur within hours.