An older adult client has come to the clinic for a regular check-up. The nurse's initial inspection reveals an increased thoracic curvature of the client's spine.
The nurse should document the spinal disorder as which of the following?
Lordosis.
Kyphosis.
Scoliosis.
Epiphyses.
The Correct Answer is B
Choice A rationale
Lordosis is an exaggerated inward curvature of the lumbar spine. It is commonly seen in pregnant women, individuals with obesity, or those with weak abdominal muscles. Lordosis is not characterized by an increased thoracic curvature.
Choice B rationale
Kyphosis is an exaggerated outward curvature of the thoracic spine, often resulting in a hunched or rounded back. It is commonly seen in older adults due to osteoporosis, degenerative disc disease, or poor posture. Kyphosis is the correct diagnosis for increased thoracic curvature.
Choice C rationale
Scoliosis is a lateral curvature of the spine, often resembling an "S" or "C" shape when viewed from behind. It can occur in any part of the spine but does not specifically describe an increased thoracic curvature.
Choice D rationale
Epiphyses refer to the growth plates at the ends of long bones in children and adolescents. They are not related to spinal curvature or any spinal disorder. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Scoliosis is characterized by a lateral curvature of the spine, often identified by uneven shoulders and a prominent scapula. The forward bending test accentuates these physical signs, helping to diagnose scoliosis.
Choice B rationale
Muscular dystrophy involves progressive muscle weakening and wasting, typically symmetrical, not causing the asymmetry seen in scoliosis. It usually doesn't present with the specific spinal curvature of scoliosis.
Choice C rationale
Kyphosis involves a forward rounding of the upper back, not a lateral curvature. It presents as a hunched or rounded back rather than uneven shoulders and prominent scapula.
Choice D rationale
Lordosis refers to an exaggerated inward curve of the lower back, not involving uneven shoulders or scapula. It affects the lumbar spine rather than presenting the scoliosis-related signs described.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Dryness of the eyes, or xerophthalmia, is a common symptom of keratoconjunctivitis. It indicates the involvement of the conjunctiva and cornea, often seen in conditions like Stevens-Johnson syndrome or toxic epidermal necrolysis.
Choice B rationale
Skin peeling on the eyelids suggests severe involvement of the ocular adnexa and can be a sign of advancing keratoconjunctivitis. This symptom reflects significant mucocutaneous damage.
Choice C rationale
Pruritus, or itching, is less specific for keratoconjunctivitis and more commonly associated with allergic reactions or less severe irritations. It is not a primary indicator of the disease's progression.
Choice D rationale
Burning of the eyes is a symptom of keratoconjunctivitis, indicating inflammation and irritation of the conjunctiva and cornea. This symptom helps in identifying the progression of the condition. .
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