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

A) Changes in appetite: While changes in appetite are important to assess, they are not the most immediate concern for a client with ALS who is experiencing weight loss. Appetite changes can contribute to weight loss, but other factors may be more critical.

B) Prescribed medications: Knowing the client’s prescribed medications is essential for overall care, but it is not the priority when addressing recent weight loss in a client with ALS. Medications can affect appetite and weight, but immediate physical concerns should be prioritized.

C) Daily fluid intake: Assessing daily fluid intake is important for hydration status, but it is not the priority in this scenario. Ensuring adequate fluid intake is necessary, but it does not directly address the potential complications related to weight loss in ALS.

D) Swallowing ability: Swallowing ability is the priority admission data to obtain for a client with ALS who has had recent weight loss. ALS can affect the muscles involved in swallowing, leading to dysphagia (difficulty swallowing). This can result in inadequate nutrition and hydration, as well as an increased risk of aspiration. Assessing swallowing ability helps identify the need for interventions such as dietary modifications, swallowing therapy, or alternative feeding methods to ensure the client’s safety and nutritional needs are met.

A) “You should give your child a clear liquid diet for 24 hr.”:A clear liquid diet is not typically required following a cardiac catheterization. The child can usually resume a regular diet unless otherwise instructed by the healthcare provider.

B) “Your child can take a tub bath this evening.”:Tub baths should be avoided immediately after a cardiac catheterization to prevent infection at the catheter insertion site. Sponge baths are usually recommended until the site has healed.

C) “Your child should stay out of school for 7 days following the procedure.”:While some rest is necessary, staying out of school for 7 days is generally not required. The child can usually return to school within a few days, depending on their recovery and the healthcare provider’s advice.

D) “You should remove your child’s pressure dressing tomorrow.”:Removing the pressure dressing the day after the procedure is a common instruction. It allows the site to be inspected for any signs of infection or complications and ensures proper healing.