A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis?
Unequal waist angles.
Complaints of a sore back.
Inability to bend at the waist.
An uneven hemline.
Asymmetry of the shoulders.
Correct Answer : A,D,E
The correct answers are choices A, D, and E. Unequal waist angles, an uneven hemline, and asymmetry of the shoulders.
Choice A rationale:
Unequal waist angles can be an indication of scoliosis, a condition characterized by abnormal lateral curvature of the spine. When the spine curves, it can cause one side of the waist to appear higher than the other, leading to unequal waist angles. This is a key physical finding in scoliosis assessment.
Choice B rationale:
Complaints of a sore back are a non-specific symptom and may not directly indicate scoliosis. While scoliosis can sometimes cause discomfort or pain, it's not the primary assessment finding that the nurse should expect to observe.
Choice C rationale:
Inability to bend at the waist is not a typical assessment finding of scoliosis. Scoliosis primarily involves the lateral curvature of the spine, which can lead to visible asymmetry and postural changes rather than restrictions in bending.
Choice D rationale:
An uneven hemline can be a sign of scoliosis. When the spine curves, it can cause the hips and shoulders to become misaligned, leading to changes in the alignment of clothing and accessories, such as an uneven hemline.
Choice E rationale:
Asymmetry of the shoulders is a common manifestation of scoliosis. One shoulder may appear higher than the other due to the lateral curvature of the spine. This asymmetry is often more noticeable when the child is viewed from behind.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Explain in simple terms how it works.
Choice A rationale:
Asking the girl why she wants to know might be appropriate in some contexts, but children are naturally curious and seeking information is a common behavior. Explaining how the blood pressure apparatus works would likely be more beneficial than questioning her motivation.
Choice B rationale:
Determining why she is anxious assumes that the girl is anxious, which might not be the case. Additionally, the question she asked does not necessarily indicate anxiety, but rather a curiosity about the medical equipment.
Choice C rationale:
Explaining in simple terms how the blood pressure apparatus works is the most appropriate nursing action. This approach respects the child's curiosity and provides her with age-appropriate information, fostering a positive and educational interaction.
Choice D rationale:
Telling her that she will see how it works as it is used might not fully satisfy her curiosity or address her immediate question. Children often benefit from clear and concise explanations, especially when it comes to medical equipment.
Correct Answer is C
Explanation
The correct answer is choice C. They may lie to meet expectations set by others that they have been unable to attain.
Choice A rationale:
Lying resulting from the inability to distinguish between fact and fantasy is more characteristic of younger children and might not be as applicable to the 8 to 10-year-old age group.
Choice B rationale:
While cheating during games might be a behavior observed in children, it doesn't specifically address the characteristic of dishonesty outlined in the question for this age group.
Choice C rationale:
Children aged 8 to 10 years may lie to meet expectations set by others that they have been unable to attain. This is a manifestation of social pressure and the desire to avoid disappointing others or facing consequences for not meeting perceived expectations.
Choice D rationale:
Stealing due to a limited sense of property rights might apply more to younger children who are still developing their understanding of ownership and boundaries.
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