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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This option does not accurately reflect the client's history.
The client has had two term deliveries (twins), one preterm delivery (spontaneous abortion at 15 weeks), and is currently pregnant.
B. The numbers do not correspond with the provided pregnancy history.
C. The option does not account for the number of term deliveries or preterm deliveries accurately.
D. The client’s GTPAL status is:
- G: 4 (total pregnancies, including current one)
- T: 2 (twins born at 36 weeks)
- P: 0 (no preterm deliveries, as 36 weeks is not considered preterm)
- A: 2 (elective abortion at 9 weeks and spontaneous abortion at 15 weeks)
- L: 2 (living children from the twins).

A. Industry vs. inferiority B. Identity vs. role confusion C. Initiative vs. guilt D. Autonomy vs. shame and doubt

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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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning?

Correct Answer is A

Explanation

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