The practical nurse (PN) plans to screen only high-risk children for scoliosis. Which group of children should the PN screen?

High school boys.

High school girls.

Middle school boys.

Middle school girls.

Answer and Explanation

The Correct Answer is D

This is the group of children that the PN should screen for scoliosis because they are at the highest risk of developing this condition. Scoliosis is a lateral curvature of the spine that usually occurs during the growth spurt before puberty. Girls are more likely than boys to have scoliosis, and the condition tends to worsen during adolescence.

A. High school boys are not at high risk of scoliosis and do not need to be screened unless they have signs or symptoms of the condition.

B. High school girls are at lower risk of scoliosis than middle school girls because they have completed most of their growth spurt and their condition is less likely to progress.

C. Middle school boys are at lower risk of scoliosis than middle school girls because they have a slower growth rate and a later onset of puberty.

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Correct Answer is B

Explanation

This is the correct way to correct an error on a hand-writen chart, according to the legal and ethical principles of documentation. The PN should also initial and date the correction.

Obliterating the entry or charting in the next column can create confusion and suspicion of tampering with the records. Notifying the charge nurse is not necessary unless the error has serious implications for the client's care or safety

A. "I did not experience any heartburn after eating lunch.". B. "I am able to swallow all the food on my tray without difficulty.". C. "I no longer need to strain to have a bowel movement.". D. "I have a great appetite and am feeling really hungry.".

Correct Answer is A

Explanation

Choice A rationale:

Pantoprazole is a proton pump inhibitor used to treat GERD by reducing stomach acid production. If the client reports not experiencing heartburn after eating lunch, it indicates that the medication is effectively reducing stomach acid and alleviating GERD symptoms.

Choice B rationale:

The ability to swallow food without difficulty is not directly related to the desired effect of pantoprazole. It may be an important aspect of the client's overall condition, but it does not specifically indicate the efficacy of the medication in treating GERD.

Choice C rationale:

Having no difficulty straining for a bowel movement is unrelated to the desired effect of pantoprazole in treating GERD. Pantoprazole does not directly influence bowel movements.

Choice D rationale:

Having a great appetite and feeling hungry are not relevant indicators of the effectiveness of pantoprazole in treating GERD. These statements are more related to the client's appetite and overall well-being rather than the response to the medication.

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The practical nurse (PN) plans to screen only high-risk children for scoliosis. Which group of children should the PN screen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is charting vital signs on a hand-writen ﬂow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Correct Answer is B

Explanation

After administering pantoprazole to a client with gastroesophageal reflux disorder (GERD), which statement by the client indicates to the practical nurse (PN) that the medication is producing the desired effect?

Correct Answer is A

Explanation

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