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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Rationale for A:The practical nurse (PN) is not typically responsible for explaining the examination as this is usually the role of the physician or advanced practice nurse who will be performing the procedure. The PN may assist with clarifying information but is not the primary source of explanation.
- Rationale for B: It is the PN's responsibility to ensure that the consent form has been properly signed and is in the medical record before any invasive procedure takes place. This is a critical step in verifying that the patient has been informed and agrees to the examination.
- Rationale for C:While the PN may obtain consent from a family member if the client is unable to provide it themselves, they must first ensure that the family member is legally authorized to give consent on the client's behalf, which often involves more than just obtaining a signature.
- Rationale for D: Asking if the client understands the exam and why the consent form must be signed is part of the informed consent process, but it is not solely the responsibility of the PN. The PN can participate in this process but ensuring understanding and obtaining consent is a multidisciplinary responsibility.
Correct Answer is A,B,C,D
Explanation
This client has the highest priority, as he or she may be experiencing an acute asthma attack that can compromise the airway and oxygenation. The PN should assess the client's respiratory status, administer bronchodilators, and monitor for improvement or deterioration.
B. A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness.
This client has the second highest priority, as he or she may be experiencing hypoglycemia, which is a low blood glucose level that can cause neurologic symptoms such as confusion, seizures, or coma. The PN should check the client's blood glucose level, provide a source of glucose, and monitor for recovery or complications.
C. A 10-year-old child with bleeding lacerations on both knees after falling on the playground.
This client has the third highest priority, as he or she may have a risk of infection or blood loss from the wounds. The PN should clean and dress the lacerations, apply pressure if needed, and check for signs of infection or inflammation.
D. A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.
This client has the lowest priority, as he or she does not have a life-threatening or urgent condition, but a psychosocial or emotional issue. The PN should provide comfort and reassurance to the child, change his or her clothes, and explore the possible causes of the incontinence.
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