A nurse is assisting with scoliosis screenings for students at a public school.
Which of the following findings should the nurse recognize as an indication of scoliosis?
Expansion of the upper intercostal spaces.
Increased convex curve of the cervical spine.
Increased concave curve of the thoracic spine.
Unequal height of the shoulders.
The Correct Answer is D
The correct answer is choice D. Unequal height of the shoulders.
This is because scoliosis is a condition characterized by sideways curvature of the spine that can cause asymmetry of the shoulders, shoulder blades, and hips.
A scoliosis screening is a test that checks for this asymmetry by having the child bend forward from the waist and looking for any prominence of the rib cage or the spine.
Choice A is wrong because expansion of the upper intercostal spaces is not a sign of scoliosis, but rather a sign of hyperinflation of the lungs due to conditions such as asthma or emphysema.
Choice B is wrong because increased convex curve of the cervical spine is not a sign of scoliosis, but rather a sign of kyphosis, which is an excessive outward curvature of the upper spine.
Choice C is wrong because increased concave curve of the thoracic spine is not a sign of scoliosis, but rather a sign of lordosis, which is an excessive inward curvature of the lower spine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This action will help the client hear the nurse better by reducing competing sounds.
The nurse should also face the client when speaking, use short phrases, and communicate using paper and pen if needed.
Choice A is wrong because using short phrases alone is not enough to promote communication with a client who has hearing loss.
The nurse should also use other strategies such as decreasing background noise and facing the client when speaking.
Choice C is wrong because speaking in a loud voice can distort the sound and make it harder for the client to understand.
The nurse should speak clearly, slowly, and distinctly, but not shout.
Choice D is wrong because talking at a rapid rate can make it difficult for the client to follow the conversation.
The nurse should speak at a normal pace and pause between sentences.
Correct Answer is D
Explanation
The correct answer is D. Using two gloved fingers to open the client’s mouth for cleaning.
Choice A rationale:
Lowering the side rail on the side of the bed where the AP will stand is necessary for safe access to the client. However, the AP should ensure the opposite side rail is up to prevent the client from falling.
Choice B rationale:
Using an oral care sponge swab moistened with cool water is an appropriate method for cleaning the mouth of an unconscious client. It helps maintain oral hygiene and comfort.
Choice C rationale:
Wearing clean gloves is essential for infection control and is a standard practice when performing mouth care to protect both the client and the caregiver.
Choice D rationale:
Using two gloved fingers to open the client’s mouth is not recommended as it can cause injury to the caregiver if the client bites down reflexively. Instead, a padded tongue blade should be used to gently open the mouth.
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