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. Social worker: Social workers can assist clients who have difficulty with transportation by coordinating community resources, arranging rides, or providing access to transportation services. This ensures the client can safely attend follow-up appointments without compromising independence or safety.
B. Primary care provider: The primary care provider manages overall health and follow-up care but does not typically coordinate transportation services for clients.
C. Physical therapist: Physical therapists focus on improving mobility, strength, and balance, which may indirectly support functional independence, but they do not coordinate transportation.
D. Occupational therapist: Occupational therapists help clients maintain or regain functional skills for daily activities, including driving skills, but arranging transportation to appointments falls under social work support rather than therapy interventions.
Correct Answer is B
Explanation
A. Client: The nurse should verify the client’s identity when administering any medication, but the client’s name is usually clearly stated in the prescription and is not ambiguous in this scenario. Clarifying the client is not the primary concern when reading back the prescription.
B. Route: The provider did not specify the route of administration (oral, intravenous, or sublingual), which is critical for safe medication administration. Clarifying the route ensures the nurse administers the drug correctly and avoids potential complications from using the wrong method.
C. Medication: The medication name, ondansetron, is clearly stated and unambiguous. There is no need for clarification unless there is a similar-sounding drug, which is not indicated in this scenario.
D. Dose: The dose of 4 mg every 6 hours as needed is clearly stated. The nurse does not need to clarify the dose since it is complete and within standard dosing guidelines for ondansetron.
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