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 A
Explanation
A. Hyperthermia: Cocaine is a stimulant that increases sympathetic nervous system activity, leading to elevated body temperature, tachycardia, and hypertension. Hyperthermia is a common acute effect of cocaine use.
B. Increased appetite: Cocaine typically suppresses appetite due to its stimulant effects on the central nervous system. Clients often experience decreased hunger rather than increased appetite.
C. Sedation: Cocaine use generally causes CNS stimulation, resulting in agitation, restlessness, or insomnia rather than sedation. Sedative effects are more characteristic of depressant substances.
D. Hypotension: Cocaine causes vasoconstriction and sympathetic stimulation, which usually leads to elevated blood pressure. Hypotension is not expected and may indicate a complication or co-ingestion of another substance.
Correct Answer is D
Explanation
A. "You should give your child captopril 200 mg PO daily.": Captopril is an antihypertensive and is not routinely prescribed for Wilms’ tumor unless the child has hypertension. It is not part of standard preoperative management and should not be included in general parent teaching for tumor care.
B. "Your child should have surgery in 7 to 10 days to remove the tumor.": The timing of surgery is individualized based on the child’s condition, staging, and preoperative assessments. Providing a specific timeframe may be inaccurate and cause unnecessary confusion or anxiety.
C. "Your child will not require further treatment after removal of the tumor.": Wilms’ tumor often requires multimodal therapy, including chemotherapy and sometimes radiation, depending on tumor stage and histology. Parents should be aware that surgery alone may not be sufficient for complete treatment.
D. "You should not palpate your child's abdomen prior to surgery.": Palpating the abdomen can risk rupturing the tumor and spreading cancer cells, which could worsen prognosis. Parents should be instructed to avoid abdominal palpation and handle the child gently until surgical removal of the tumor.
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