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,B,C,D
Explanation
To delegate tasks to assistive personnel (APs) effectively, the nurse should follow this sequence:
- A. Review the skill level and qualifications of each AP.
- B. Communicate appropriate tasks to the APs with specific expectations.
- C. Monitor progress of task completion with each AP.
- D. Evaluate the APs' performance of each task.
This order ensures that the nurse first assesses the abilities of the APs, then clearly communicates tasks, monitors their progress, and finally evaluates their performance.
Correct Answer is A
Explanation
A. Negative clonus: Monitoring for a negative clonus is appropriate as it indicates effective control of neuromuscular excitability and seizure prevention in clients receiving magnesium sulfate for preeclampsia. A negative clonus response suggests that the magnesium sulfate is effectively managing the risk of seizures.
B. BP 150/92 mm Hg: While blood pressure management is important in preeclampsia, a blood pressure of 150/92 mm Hg indicates hypertension, which is not a desired therapeutic effect when managing preeclampsia with magnesium sulfate.
C. Pulse rate 100/min: A pulse rate of 100/min is not a specific therapeutic effect of magnesium sulfate and can indicate tachycardia, which might require further evaluation rather than being a target for monitoring.
D. Flushed face: A flushed face may occur as a side effect of magnesium sulfate infusion, but it is not a therapeutic effect. It does not indicate that the medication is working to control the symptoms of preeclampsia.
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