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 D
Explanation
A. Monitor vital signs every hour for the first 4 hr: Incorrect. Vital signs should be monitored more frequently, typically every 15 minutes during the first hour after administration, due to the risk of bleeding.
B. Administer medications intramuscularly: Incorrect. Intramuscular injections should be avoided while the client is on alteplase due to the increased risk of bleeding.
C. Provide a diet low in protein: Incorrect. There is no need for a low-protein diet with alteplase therapy. The focus should be on managing bleeding risks and monitoring for complications.
D. Observe for bruising of the skin: Alteplase is a thrombolytic medication, and one of its major side effects is bleeding. The nurse should monitor the client for signs of bruising, bleeding, or hemorrhage.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Pain Medication:
Fractures are painful, and pain management is essential for the child’s comfort and to prevent complications related to inadequate pain control.
Limb Immobilization:
Immobilization of the fractured arm (e.g., with a splint or cast) is necessary to promote proper alignment and healing of the nondisplaced fracture of the radius and ulna.
Incorrect Options:
Antibiotics: There is no indication of infection, such as an open fracture or systemic signs of infection, which would require antibiotics.
Surgical Consultation: A nondisplaced fracture typically does not require surgical intervention. Conservative treatment with immobilization is sufficient.
Bed Rest: This is not necessary for an isolated arm fracture, as the child can remain mobile.
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