A nurse is assisting with screening a client for scoliosis. Which of the following actions should the nurse ask the client to perform?
Bend forward with back parallel to the floor.
Stand facing the nurse.
LIe supine with arms extended above head
Lie in a side-lying position.
The Correct Answer is A
A. Bend forward with back parallel to the floor: The forward bend test, or Adam’s test, allows the nurse to observe for asymmetry of the ribs or spine, which are common indicators of scoliosis. This position accentuates spinal curvature for easier assessment.
B. Stand facing the nurse: Observing the client from the front does not provide a clear view of spinal curvature or asymmetry of the shoulders, ribs, or scapulae, which are key findings in scoliosis screening.
C. Lie supine with arms extended above head: This position is not effective for detecting spinal curvature or rib asymmetry, as scoliosis is best visualized with the client standing and bending forward.
D. Lie in a side-lying position: The side-lying (lateral) position is used for assessing pressure ulcers or administering enemas, but it does not provide the necessary alignment or visual access to detect the "S" or "C" curve of the spine characteristic of scoliosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Complete activities with one client before moving to another client: Focusing on only one client at a time can reduce efficiency, especially when tasks can be clustered. Effective time management often involves grouping similar tasks across clients to minimize unnecessary movement and interruptions.
B. Plan a time at the end of the shift to document nursing interventions: Delaying documentation until the end of the shift increases the risk of omissions and inaccuracies. Timely, ongoing documentation throughout the shift supports accuracy and safe continuity of care.
C. Make a priority to-do list at the beginning of the shift: Creating a prioritized task list helps the nurse organize care based on urgency and client needs. This approach improves efficiency and ensures that high-priority interventions are addressed first.
D. Delegation of vital signs to the assistive personnel on the team: Delegating routine tasks such as vital signs allows the nurse to focus on assessments and interventions requiring professional judgment. Appropriate delegation is a key strategy for effective time management.
E. Keep track of how long it takes to complete certain tasks: Monitoring how long tasks take helps the nurse plan more realistically and adjust workflow. This awareness supports better scheduling and improved efficiency over time.
Correct Answer is D
Explanation
A. Cimetidine: Cimetidine is an H2-receptor antagonist used for gastric acid reduction. It does not significantly increase the risk of bleeding when taken with enoxaparin and is generally considered safe for concurrent use.
B. Docusate: Docusate is a stool softener and does not affect coagulation. It is safe to use with enoxaparin and can help prevent constipation associated with reduced mobility or opioid use.
C. Calcium supplement: Calcium supplements do not impact anticoagulation or platelet function. They are safe to take with enoxaparin and do not increase bleeding risk.
D. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits platelet function and can increase the risk of bleeding when taken with enoxaparin. Clients should avoid NSAIDs unless approved by the provider and use alternative pain management strategies.
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