The school nurse is screening students for scoliosis and notes that one student has lordosis. Which finding should the nurse document in the student's screening record?

Rounded spine from head to hips without concave curves.

Posterior curvature that is convex in the thoracic area.

Excessive concave curvature of the lumbar spine.

Lateral curvature that creates asymmetry of the shoulders.

Answer and Explanation

The Correct Answer is C

A. This describes a normal spine alignment.

B. This describes kyphosis, not lordosis.

C. Lordosis is an excessive inward curvature of the lumbar spine, often called "swayback."
D. This describes scoliosis, not lordosis.

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Correct Answer is A

Explanation

A. Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B. Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C. While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.

D. Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.

A. Chew food slowly and thoroughly before attempting to swallow. B. Sip fluids slowly with each meal and between meals. C. Eliminate or reduce intake of fatty and gas forming foods. D. Plan volume-controlled, evenly-spaced meals throughout the day.

Correct Answer is D

Explanation

A. While chewing food well is important to aid digestion and prevent discomfort, meal timing and portion control are the primary concerns in gastric bypass patients.

B. Sipping fluids slowly is important, but fluids should generally be taken between meals rather than with meals to prevent stretching the stomach pouch and to avoid dumping syndrome.
C. Reducing fatty and gas-forming foods can help avoid discomfort, but this is less critical than ensuring proper food breakdown through thorough chewing.
D. After gastric bypass surgery, small, frequent meals help prevent dumping syndrome, a condition in which food moves too quickly from the stomach to the small intestine, causing nausea, dizziness, and diarrhea. Portion control is essential to avoid overstretching the reduced stomach pouch and ensure adequate nutrient absorption.

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The school nurse is screening students for scoliosis and notes that one student has lordosis. Which finding should the nurse document in the student's screening record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

Correct Answer is A

Explanation

A client who underwent an uncomplicated gastric bypass surgery is having difficulty with diet management. Which dietary instruction is most important for the nurse to explain to the client?

Correct Answer is D

Explanation

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