A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward.
The nurse should expect to read about what health problem in the client's electronic health record?

Scoliosis.

Muscular dystrophy.

Kyphosis.

Lordosis.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Scoliosis is characterized by a lateral curvature of the spine, often identified by uneven shoulders and a prominent scapula. The forward bending test accentuates these physical signs, helping to diagnose scoliosis.

Choice B rationale

Muscular dystrophy involves progressive muscle weakening and wasting, typically symmetrical, not causing the asymmetry seen in scoliosis. It usually doesn't present with the specific spinal curvature of scoliosis.

Choice C rationale

Kyphosis involves a forward rounding of the upper back, not a lateral curvature. It presents as a hunched or rounded back rather than uneven shoulders and prominent scapula.

Choice D rationale

Lordosis refers to an exaggerated inward curve of the lower back, not involving uneven shoulders or scapula. It affects the lumbar spine rather than presenting the scoliosis-related signs described.

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Correct Answer is C

Explanation

Choice A rationale

Aspiration of synovial fluid for serologic testing is a procedure known as arthrocentesis, which involves extracting joint fluid for analysis. While useful for diagnosing conditions like infections or arthritis, it is not the same as arthrography, which involves imaging.

Choice B rationale

Injection of corticosteroids into the client's knee joint to facilitate ROM is a therapeutic procedure to reduce inflammation and improve movement in conditions like arthritis, but it is not part of an arthrography procedure.

Choice C rationale

Injection of a contrast agent into the knee joint prior to ROM exercises is a key part of arthrography. The contrast agent helps to enhance the imaging of the joint structures during movement, allowing for a detailed assessment of the joint.

Choice D rationale

Replacement of the client's synovial fluid with a synthetic substitute is not related to arthrography. This description aligns more with viscosupplementation, a treatment for osteoarthritis.

A. Necrosis. B. Low capillary pressure. C. Increased mobility. D. Extrinsic factors.

Correct Answer is D

Explanation

Choice A rationale

Necrosis is tissue death resulting from prolonged pressure, often a consequence rather than the direct cause of pressure ulcers. The primary cause is sustained pressure impairing blood flow.

Choice B rationale

Low capillary pressure does not directly cause pressure ulcers. They result from sustained external pressure exceeding capillary perfusion pressure, leading to ischemia and tissue damage.

Choice C rationale

Increased mobility actually prevents pressure ulcers by reducing sustained pressure on any one area, enhancing blood flow and tissue health. Immobility is a significant risk factor, not increased mobility.

Choice D rationale

Extrinsic factors like sustained pressure, friction, shear, and moisture contribute directly to pressure ulcer development by compromising skin integrity and blood flow, leading to tissue ischemia and damage.

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A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the client's electronic health record?

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Naxlex Comprehensive Predictor Exams

A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

Correct Answer is C

Explanation

Pressure ulcers are caused by:

Correct Answer is D

Explanation

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A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward.
The nurse should expect to read about what health problem in the client's electronic health record?