A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?
Kyphosis
Scoliosis
Lordosis
Ankylosis
The Correct Answer is A
A. Kyphosis: Excessive forward curvature of the thoracic spine, commonly due to osteoporosis-related bone loss in older adults.
B. Scoliosis refers to a lateral curvature of the spine.
C. Lordosis: exaggerated inward curvature of the lumbar spine, often seen in pregnancy or obesity.
D. Ankylosis: abnormal stiffening or fusion of joints, unrelated to spinal curvature.
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Related Questions
Correct Answer is D
Explanation
A. Nausea – Not a primary manifestation of hypoxia. Hypoxia primarily affects oxygen delivery to tissues, leading to respiratory and neurological changes.
B. Dysphagia – Difficulty swallowing is not a common sign of hypoxia. It is more often associated with neurological conditions or structural abnormalities.
C. Warm, dry skin – Hypoxia typically causes cool, clammy skin due to vasoconstriction and poor oxygenation, not warm, dry skin.
D. Cyanosis – Correct. Cyanosis (bluish discoloration of the skin, lips, or nail beds) occurs due to inadequate oxygenation of the blood, making it a key sign of hypoxia.
Correct Answer is B
Explanation
A. The client takes a 20-min nap each afternoon. Taking a short nap is a healthy coping mechanism and does not indicate ineffective coping.
B. The client has gained 4.5 kg (10 lb) in the past month. Sudden weight gain can indicate emotional eating or stress-related metabolic changes, which are signs of ineffective coping.
C. The client takes a walk for 1 hr each day. Walking is a positive coping strategy that helps manage stress.
D. The client is taking a poetry class. Engaging in creative activities is a healthy coping mechanism that can reduce stress.
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