A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?
Ankylosis
Scoliosis
Lordosis
Kyphosis
The Correct Answer is D
A. Ankylosis refers to the fusion of bones in a joint, leading to stiffness and immobility, but it does not specifically describe a "hunchback" curvature of the spine.
B. Scoliosis involves an abnormal lateral curvature of the spine, not a "hunchback" appearance.
C. Lordosis is characterized by an excessive inward curvature of the lumbar spine, not the outward curvature seen in a "hunchback."
D. Kyphosis is the condition characterized by an abnormal outward curvature of the thoracic spine, leading to a "hunchback" appearance. This is common in older adults, often associated with osteoporosis and loss of bone density.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Preparing for a cesarean birth is not immediately necessary based solely on hypotension. There are less invasive interventions that should be tried first to stabilize the client's blood pressure.
B. Asking the client to turn onto her side, specifically the left side, can help improve blood flow to the uterus and placenta, thereby increasing blood pressure and improving fetal oxygenation. This is a common and effective first-line intervention for hypotension in laboring clients.
C. Assisting the client to an upright position could further decrease venous return to the heart, potentially worsening hypotension. Lateral positioning is more effective in this scenario.
D. Immediate vaginal delivery is not indicated based on the client’s hypotension alone. Stabilizing the client's blood pressure is the priority before considering further delivery interventions.
Correct Answer is A
Explanation
A. At the age of 9, children are typically in the "Industry vs. Inferiority" stage, focusing on developing competence and skills. The care plan should consider the child's need to manage their asthma effectively while continuing to engage in activities that foster a sense of accomplishment and industry.
B. "Identity vs. Role Confusion" is the stage for adolescents, not for a 9-year-old child.
C. "Initiative vs. Guilt" pertains to younger children, typically around ages 3 to 6, and focuses on their initiative and ability to take on tasks.
D. "Autonomy vs. Shame and Doubt" applies to toddlers, generally ages 1 to 3, and focuses on developing independence and autonomy.
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