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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The client is observed mumbling quietly while alone in the day room: This behavior may be related to the client’s schizophrenia and is not necessarily indicative of an adverse effect from the antipsychotic medication. It is common for individuals with schizophrenia to exhibit such behaviors, which may not require reporting.

B. The client is observed displaying a shuffling gait while walking in the hall: A shuffling gait can indicate extrapyramidal symptoms, such as Parkinsonism, which are potential adverse effects of antipsychotic medications. This observation requires immediate reporting to the provider for further assessment and potential adjustment of the medication.

C. The client states, "Being in the sun seems to really hurt my eyes": Photosensitivity can occur with some medications, including antipsychotics, but it is not as urgent an issue as extrapyramidal symptoms. While this should be documented and addressed, it does not necessarily require immediate intervention.

D. The client states, "I feel light-headed when I stand up quickly": This symptom may indicate orthostatic hypotension, a common side effect of some antipsychotics. While it is important to monitor, it is less urgent than the motor symptoms associated with extrapyramidal effects, which can significantly impact the client’s safety and well-being.

A. Offer to take pictures of the newborn for the client. B. Assure the client that she can have additional children. C. Avoid talking to the client about the newborn. D. Discourage the client from allowing friends to see the newborn.

Correct Answer is A

Explanation

A. "Offer to take pictures of the newborn for the client.": This is a compassionate and supportive action. Offering to take pictures can help the parents create memories and can be an important part of the grieving process, allowing them to acknowledge their loss.

B. "Assure the client that she can have additional children.": While this may be intended to provide comfort, it can minimize the current loss and may not be what the client needs to hear in the moment. It’s important to validate their feelings of grief first.

C. "Avoid talking to the client about the newborn.": Avoiding the topic can make the client feel isolated in their grief. Open discussions about the newborn can help the parents process their emotions and acknowledge their loss.

D. "Discourage the client from allowing friends to see the newborn.": This is not supportive. Allowing friends and family to see the newborn can provide comfort and support to the grieving parents, and should not be discouraged unless there are specific concerns about health or safety.

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A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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