The initial bundle of care in sepsis includes which of the following? (Select all that apply.)

Unequal scapula and hip heights can be indicative of spinal curvature, a key characteristic of scoliosis. As the spine curves, it can cause the shoulders and hips to appear uneven when observed from behind. This asymmetry is an important visual clue that warrants further assessment and evaluation.

Equal rib prominence and tight-fitting clothes, equal waist and shoulder angles, and symmetric chest expansion with deep breaths are not specific signs of scoliosis. These signs may not be affected by spinal curvature and are not typically used in the screening process for scoliosis.

It's important to note that scoliosis screenings may involve more comprehensive assessments, including the use of scoliometers or other measuring tools to evaluate the degree of spinal curvature. Any concerns or suspicions of scoliosis should be reported to appropriate healthcare professionals for further evaluation and management.

Prednisone is a corticosteroid medication that can increase blood glucose levels by promoting gluconeogenesis (the production of glucose from non-carbohydrate sources) and reducing glucose utilization in the body. This can lead to elevated blood sugar levels, especially in individuals with diabetes. The client's history of urinary tract infection and the use of Prednisone suggest that the infection might have triggered the development of DKA.

It's important to note that DKA can occur even when a person is taking insulin as prescribed and following their diet carefully if other factors contribute to the development of DKA, such as an underlying infection or the use of certain medications like Prednisone. The nurse should further assess the client's condition and notify the healthcare provider to initiate appropriate management for DKA.