A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?
The neck flexing when bending forward at the waist
Shoulders that are uneven when standing erect
Toes that point inward when bending forward at the waist
Knees that bow outward when standing erect
The Correct Answer is B
A. Neck flexion when bending forward is not a typical indicator of scoliosis. Scoliosis is identified by abnormal curvature of the spine, not by the neck.
B. Uneven shoulders when standing erect are a key indicator of scoliosis. This asymmetry can be identified when the child bends forward at the waist, which is a standard test for scoliosis during a physical examination.
C. Toes that point inward when bending forward is not a sign of scoliosis. This could be indicative of a different musculoskeletal issue such as hip or leg alignment problems, but it is not related to scoliosis.
D. Knees that bow outward when standing erect indicate bow-leggedness (genu varum), not scoliosis. Scoliosis specifically affects the spine's curvature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chocolate malt typically contains malted barley, which contains gluten. This would not be appropriate for a child with celiac disease, as gluten can trigger an immune response and cause damage to the small intestine.
B. Rice is a gluten-free grain, making rice pudding a safe food choice for children with celiac disease. The parent demonstrates understanding of appropriate gluten-free foods.
C. Rye bread contains gluten, which is harmful to individuals with celiac disease. Rye is not a suitable option for this child.
D. Barley contains gluten and should be avoided in children with celiac disease. Barley-based breakfast cereals would not be safe for the child.
Correct Answer is C
Explanation
A. Hemophilus influenzae, which causes respiratory infections, generally requires droplet precautions, not contact precautions.
B. Streptococcal pharyngitis is also typically managed with droplet precautions, not contact precautions.
C. Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and gastrointestinal symptoms. It is spread through direct contact with contaminated surfaces or equipment, so contact precautions are necessary to prevent transmission.
D. Mycoplasma pneumoniae, which causes respiratory infections, requires droplet precautions, not contact precautions.
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