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
Mild pain in the hip region
Limited range-of-motion of the hips
The Correct Answer is B
A) Exaggerated curvature of the sacrum: This is not a specific indicator of scoliosis. Scoliosis primarily involves lateral curvature of the spine, not an exaggerated curvature of the sacrum.
B) Uneven shoulder and pelvic heights: This is the correct answer. Scoliosis is characterized by an abnormal lateral curvature of the spine, which can lead to uneven shoulder and pelvic heights. This is a common clinical manifestation that nurses look for during screenings.
C) Mild pain in the hip region: While pain can sometimes accompany scoliosis, it is not a definitive clinical manifestation of the condition itself and is not typically used as an indicator during screenings.
D) Limited range-of-motion of the hips: Limited hip motion may occur due to other conditions but is not a primary sign of scoliosis. The assessment of scoliosis focuses more on spinal alignment and symmetry rather than hip mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A history of gastroesophageal reflux disease: This factor places the client at a higher risk for aspiration. Patients with gastroesophageal reflux disease (GERD) may experience backflow of stomach contents, which can lead to aspiration, especially when receiving enteral feedings.
B. A residual of 65 mL, 1 hr postprandial: While monitoring residual volumes is important to assess tolerance to feeding, a residual of 65 mL alone does not inherently indicate a high risk for aspiration. It may suggest that the feeding rate needs adjustment but isn't a direct risk factor.
C. Sitting in high-Fowler's position during the feeding: This position is actually protective against aspiration, as it promotes better gastric emptying and reduces the likelihood of reflux.
D. Receiving a high-osmolarity formula: While high-osmolarity formulas can sometimes lead to gastrointestinal discomfort or diarrhea, they do not directly increase the risk of aspiration. Proper management of feeding administration is key.
Correct Answer is B
Explanation
A) Vomiting: While nausea and vomiting can occur during pregnancy, they are not specific complications related to amniocentesis. The nurse should focus on more serious potential complications following the procedure.
B) Contractions: This is the most relevant complication to monitor for after an amniocentesis. The procedure can stimulate uterine contractions, which may lead to preterm labor, especially at 33 weeks of gestation. Monitoring for contractions is essential to ensure the safety of both the mother and the fetus.
C) Hypertension: Hypertension is not a direct complication associated with amniocentesis. While the stress of the procedure may affect blood pressure, it is not a typical monitoring concern immediately following the procedure.
D) Epigastric pain: Although epigastric pain can occur in pregnancy, it is not a specific complication of amniocentesis. Monitoring should focus on uterine activity and signs of labor rather than general abdominal pain unless it is severe or accompanied by other concerning symptoms.
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