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

Uneven shoulder and pelvic heights.

Exaggerated curvature of the sacrum.

Limited range-of-motion of the hips.

Mild pain in the hip region.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Uneven shoulder and pelvic heights." This is the correct answer. Uneven shoulder and pelvic heights, along with an asymmetrical appearance of the spine when viewed from the back, are clinical manifestations of scoliosis. Scoliosis is a sideways curvature of the spine that often develops during the growth spurt before puberty. Screening for scoliosis typically involves assessing the alignment of the spine and looking for these asymmetries.

Choice B rationale:

Exaggerated curvature of the sacrum is not a typical sign of scoliosis. Scoliosis primarily affects the upper back and can cause a side-to-side curvature of the spine, not the sacrum.

Choice C rationale:

Limited range-of-motion of the hips is not a specific indicator of scoliosis. Restricted hip movement might suggest other musculoskeletal issues but is not directly related to scoliosis.

Choice D rationale:

Mild pain in the hip region is not a characteristic symptom of scoliosis. While scoliosis can cause discomfort, it typically manifests as back pain, not specifically in the hip region. Pain symptoms can vary widely among individuals and might not be present in all cases of scoliosis.

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Correct Answer is A

Explanation

Lethargy is an expected finding in a child with hypothyroidism. Hypothyroidism slows down the body's metabolism, leading to fatigue, weakness, and lethargy. Children with hypothyroidism may appear sluggish and have low energy levels.

A. A client who has a prescription for compression stockings and did not receive them. B. A client who consumes all the food from their meal tray. C. A client who requests to sit in the bedside chair while watching TV. D. A client who requests assistance to use the bedside commode.

Correct Answer is A

Explanation

Choice A rationale:

The nurse should instruct the assistive personnel (AP) to report the client who has a prescription for compression stockings but did not receive them. This situation involves a missed intervention that is crucial for the client's health and safety. Reporting this to the nurse allows timely intervention and ensures that the client receives the necessary care.

Choice B rationale:

Consuming all the food from the meal tray is not a cause for concern and does not require immediate reporting to the nurse. It is a normal behavior and does not indicate any potential issues with the client's health or safety.

Choice C rationale:

The client's request to sit in the bedside chair while watching TV is a common and appropriate request. It does not pose any risk to the client's health or safety and does not require immediate reporting to the nurse.

Choice D rationale:

A client requesting assistance to use the bedside commode indicates a need for assistance with a basic activity of daily living. The AP should assist the client with this request as appropriate and does not need to report it to the nurse unless complications or concerns arise during the process.

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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 collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse and an assistive personnel (AP) are assigned a group of clients on the unit.Which of the following clients should the nurse instruct the AP to report to the nurse?

Correct Answer is A

Explanation

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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?