A school nurse is performing scollosis screenings. The nurse should recognize which of the following clinical manifestations as an Indication of scollosis?
Uneven shoulder and pelvic heights
Mild pain in the hip region
Exaggerated curvature of the sacrum
Limited range-of-motion of the hips
The Correct Answer is A
A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.
C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.
D. Limited range-of-motion of the hips is not a specific indicator of scoliosis
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide 60 mL (2 oz) of fluid intake every 5 min. Immediately post-surgery, fluid intake is usually more restricted and administered in smaller, more controlled quantities to prevent strain on the surgical site.
B. After gastric bypass surgery, monitoring for signs of complications such as leaks, obstructions, or internal bleeding is crucial. Measuring abdominal girth daily is not typically necessary unless specific complications are suspected.
C. Introducing a soft diet immediately post-surgery is typically delayed to allow healing; patients usually start with clear liquids.
D. Early ambulation is generally encouraged postoperatively to prevent complications like deep vein thrombosis and to promote gastrointestinal function, often starting as soon as the first postoperative day.
Correct Answer is C
Explanation
A: Attaching the restraint to the bed's side rails can increase the risk of injury if the client tries to climb over them. The restraints should instead be attached to be bed frame.
B: Restraints should be removed at least every 2 hours to assess the client's condition and provide necessary care, not every 4 hours.
C: Documentation of the client's condition is essential to ensure proper monitoring and assessment while the restraint is in use.
D: PRN restraint prescriptions should not be used for clients who are aggressive; restraints should only be used as a last resort and with a clear medical justification.
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