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":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
|
Potential action |
Indicated |
Contraindicated |
|
Ask the client about the content of their hallucinations. |
✓ |
|
|
Instruct the client on expected hygiene practices. |
✓ |
|
|
Allow the client to watch TV at a high volume. |
✓ |
|
|
Assess the client for suicidal ideation. |
✓ |
|
|
Place the client in a room near the activity |
✓ |
Rationale
- Ask the client about the content of their hallucinations: Indicated
- Understanding the content of hallucinations can help in assessing the severity and nature of the client's condition, and in planning appropriate interventions.
- Instruct the client on expected hygiene practices: Indicated
- Encouraging and educating the client about personal hygiene is important for their overall well-being and social interactions.
- Allow the client to watch TV at a high volume: Contraindicated
- High volume and excessive stimulation can exacerbate symptoms of schizophrenia, such as hallucinations and agitation.
- Assess the client for suicidal ideation: Indicated
- Regular assessment for suicidal thoughts is crucial, even if the client initially denies them, as their mental state can change.
- Place the client in a room near the activity: Contraindicated
- A quieter environment is generally more beneficial for clients with schizophrenia to reduce overstimulation and stress.
Correct Answer is A,B,C,D
Explanation
The correct sequence follows the RACE protocol for fire safety:
A. Transport the client to another area of the nursing unit (R: Rescue). Rescue anyone in immediate danger.
B. Activate the facility's fire alarm system (A: Alarm). Activate the alarm system.
C. Close all nearby windows and doors (C: Contain). Contain the fire by closing doors and windows.
D. Use the unit's fire extinguisher to attempt to put out the fire (E: Extinguish). Extinguish the fire if it is safe to do so.
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