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A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?

A.

Exaggerated curvature of the sacrum

B.

Uneven shoulder and pelvic heights

C.

Limited range-of-motion of the hips

D.

Mild pain in the hip region

Answer and Explanation

The Correct Answer is B

A. Sacral curvature relates to lordosis, not scoliosis.

B. Uneven shoulder and pelvic heights are classic signs of scoliosis.

C. Hip range of motion is usually unaffected by scoliosis.

D. Mild hip pain is not a typical feature of scoliosis.


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Related Questions

Correct Answer is ["B","C","D","G"]

Explanation

System

Findings

General

Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not. I found the title to the car today, signed over to me."

Physical

Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min

Affect

Client says, "Why don't you just leave me? I am of no use."

Rationale

These findings suggest significant cognitive and physical decline, potential depression, and possible suicidal ideation, all of which require immediate attention and intervention.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"A"}}

Explanation

Intervention

Anticipated

Contraindicated

Keep neonate prone

✅

Administer total parenteral nutrition (TPN)

✅

Encourage parent bonding

✅

Obtain an arterial blood gas

✅

Attach OG tube to low intermittent suction

✅

Repeat abdominal x-ray every 24 hr

✅

Obtain a CBC and blood culture

✅

Administer IV antibiotics

✅

Rationale:

Keep neonate prone: Contraindicated. Placing the neonate in a prone position may increase the risk of aspiration, especially in the context of respiratory distress or abdominal issues, so it is generally avoided unless clinically necessary in a controlled environment.

Administer total parenteral nutrition (TPN): Anticipated. TPN may be required if the neonate is unable to tolerate oral or enteral feeding due to gastrointestinal distress, as seen with abdominal distention and blood in stool.

Encourage parent bonding: Anticipated. Parent bonding is important for the emotional and developmental support of the neonate, even in critical care settings. However, it must be done in a manner that does not compromise the neonate’s health (e.g., ensuring sterile technique).

Obtain an arterial blood gas: Anticipated. Given the neonate's respiratory status and potential infection, obtaining an ABG is appropriate to assess acid-base balance and oxygenation status.

Attach OG tube to low intermittent suction: Anticipated. Suctioning through the OG tube may be necessary if the neonate has signs of gastrointestinal distress, such as abdominal distention, to remove excess gastric contents or air.

Repeat abdominal x-ray every 24 hr: Contraindicated. Repeating an x-ray every 24 hours may not be necessary unless there are significant changes in the neonate’s condition. Continuous monitoring with clinical assessments is typically prioritized.

Obtain a CBC and blood culture: Anticipated. Given the neonate's lethargy, hypotonia, and other concerning signs, a CBC and blood cultures are necessary to evaluate for infection, which is a common complication in critically ill neonates.

Administer IV antibiotics: Anticipated. Administration of IV antibiotics is essential, especially with signs of possible infection such as lethargy, distended abdomen, and blood in the stool, which may indicate sepsis or necrotizing enterocolitis.

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