A school nurse is conducting a staff in-service for other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable?
When toddler begins to walk
Preadolescent growth spurt
Late adolescence
Newborn period
The Correct Answer is B
The correct answer is b. Preadolescent growth spurt
Choice A reason:
Idiopathic scoliosis is not typically noticeable when a toddler begins to walk. At this stage, the spine is still developing, and any curvature is usually not significant enough to be detected. Idiopathic scoliosis most commonly becomes noticeable during periods of rapid growth, which occur later in childhood.
Choice B Reason:
The preadolescent growth spurt is the period when idiopathic scoliosis becomes most noticeable. This is because the rapid growth during this time can exacerbate the curvature of the spine. Idiopathic scoliosis often becomes apparent between the ages of 10 and 18 years, when children experience significant growth spurts.
Choice C Reason:
Late adolescence is not the period when idiopathic scoliosis becomes most noticeable. By this time, most children have completed their major growth spurts, and any scoliosis would likely have been detected earlier. The condition is typically identified during the preadolescent growth spurt.
Choice D Reason:
The newborn period is not associated with the development of idiopathic scoliosis. While congenital scoliosis can be present at birth, idiopathic scoliosis develops later in childhood, particularly during periods of rapid growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Opioid analgesics are not given as a last resort solely because of the threat of addiction. While the risk of addiction is a concern, opioids are often necessary for managing severe pain, especially in conditions like sickle cell anemia. The American Society of Hematology guidelines emphasize the importance of effective pain management in sickle cell disease, which often includes the use of opioids. The goal is to manage pain effectively while monitoring for signs of misuse or addiction.
Choice B reason:
Opioid analgesics are often ordered and are usually needed for managing severe pain in patients with sickle cell anemia. Pain episodes in sickle cell disease can be extremely severe and debilitating, requiring potent analgesics like morphine for relief. The management of acute vaso-occlusive pain in sickle cell disease often necessitates the use of opioids to provide adequate pain control.
Choice C reason:
Opioid analgesics, when medically indicated and used under proper medical supervision, rarely cause addiction. The risk of addiction is significantly lower when opioids are used appropriately for pain management in a controlled medical setting. The Mayo Clinic highlights that while opioids have addictive properties, their medical use for pain relief, especially in acute settings, is generally safe when monitored by healthcare professionals.
Choice D reason:
Opioid analgesics are not used only if other measures, such as ice packs, are ineffective. While non-pharmacological measures can be part of pain management, opioids are often necessary for managing severe pain episodes in sickle cell disease. The use of opioids is based on the severity of the pain and the clinical judgment of the healthcare provider.
Correct Answer is ["3600"]
Explanation
Step-by-Step Calculation:
Step 1: Determine the amount of ORS needed per kg for moderate dehydration.
- Moderate dehydration requires 100 mL of ORS per kg.
Step 2: Calculate the total amount of ORS needed.
- Child’s weight = 36 kg
- Amount of ORS per kg = 100 mL
Step 3: Multiply the child’s weight by the amount of ORS per kg.
- 36 kg × 100 mL/kg = 3600 mL
Step 4: Convert the total amount of ORS from mL to cups.
- 1 cup = 240 mL
- Total ORS needed = 3600 mL
Step 5: Divide the total ORS needed by the amount of mL in one cup.
- 3600 mL ÷ 240 mL/cup = 15 cups
Summary:
The child will need 3600 mL (or 15 cups) of ORS within 4 hours.
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