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 D

Explanation

A) "Increased erythrocyte sedimentation rate.": An increase in the erythrocyte sedimentation rate (ESR) indicates inflammation or the presence of disease but does not reflect a response to epoetin alfa, which aims to increase red blood cell production.

B) "Increased neutrophil count.": Epoetin alfa primarily stimulates erythropoiesis (red blood cell production) and does not significantly affect neutrophil counts. Therefore, an increased neutrophil count is not a relevant therapeutic response.

C) "Increased platelet count.": Epoetin alfa is not directly aimed at increasing platelet counts. While it can have some indirect effects on platelets due to increased hematocrit, a higher platelet count alone does not indicate a therapeutic response to this medication.

D) "Increased hemoglobin level.": An increased hemoglobin level is the primary therapeutic target of epoetin alfa. This medication is used to treat anemia, particularly in patients with chronic kidney disease or those undergoing chemotherapy, by stimulating the production of red blood cells and thus raising hemoglobin levels.

A. Urinary frequency B. Faintness upon rising C. Swelling of the face D. Bleeding gums

Correct Answer is C

Explanation

A) Urinary frequency: This is a common and expected symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes and the growing uterus pressing on the bladder. It does not typically require reporting unless it is accompanied by pain or other concerning symptoms.

B) Faintness upon rising: While some women may experience dizziness or faintness due to hormonal changes or blood pressure fluctuations, it is not universally alarming unless it is frequent or severe. However, it’s important for the client to monitor this and report if it becomes problematic.

C) Swelling of the face: This is a concerning symptom that should be reported to the provider. Facial swelling can indicate possible preeclampsia, particularly when accompanied by high blood pressure or protein in the urine, and should be assessed promptly.

D) Bleeding gums: While some women may experience bleeding gums during pregnancy due to hormonal changes affecting the gums, it is generally not a significant concern unless it is severe or persistent. Regular dental care is advised, but it typically does not require immediate reporting to a healthcare provider.

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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

A nurse is evaluating the laboratory values of a client who is receiving epoetin alfa. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?

Correct Answer is C

Explanation

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