A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Exaggerated curvature of the sacrum
Uneven shoulder and pelvic heights
Limited range-of-motion of the hips
Mild pain in the hip region
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F"]
Explanation
Capillary refill 4 seconds: A prolonged capillary refill time of more than 2 seconds may indicate poor perfusion, possibly due to dehydration or circulatory compromise. This warrants immediate follow-up to assess for potential dehydration or shock.
Hyperactive bowel sounds: This may indicate gastrointestinal distress, such as diarrhea or irritation.
Diaper area erythema: Diaper rash is common in toddlers, particularly with diarrhea. Extremities cool: Cool extremities can be a sign of poor peripheral circulation, often associated with dehydration or developing hypovolemic shock. Immediate intervention is needed to address potential circulatory issues.
Reports no tears: The absence of tears, especially in a toddler, may suggest significant dehydration. This is a concerning sign and requires immediate follow-up to assess the child's hydration status and consider interventions, such as IV fluids or electrolyte management.
Lethargic: The child's lethargy, especially after vomiting and with decreased responsiveness, raises concern for potential dehydration, electrolyte imbalance, or a worsening condition. Lethargy in a toddler requires prompt evaluation and intervention to prevent further deterioration.
Correct Answer is B
Explanation
A. While noting changes in the medical record is important, it doesn’t specifically address communication between staff members.
B. Having interdisciplinary team meetings on a regular basis ensures that all healthcare providers involved in the client’s care are informed of the current treatment plan, goals, and changes. This promotes communication and collaboration across disciplines, which is especially important in the care of clients with conditions like expressive aphasia.
C. Recording progress in the nurses’ notes is important, but it alone does not foster active communication between different team members.
D. Posting swallowing precautions is important for the safety of the client but doesn’t address the need for better communication among the team.
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