A client presents with kyphosis.
Which statement by the client is indicative of kyphosis?
"My shoulders and waist look uneven.”
"I have a rounded upper back.”
"I have an exaggerated inward curve in my lower back.”
"I experience lower back pain and fatigue.”
The Correct Answer is B
Kyphosis is characterized by an excessive forward curvature of the thoracic spine, leading to a rounded upper back.
This statement accurately reflects the clinical presentation of kyphosis.
Choice A rationale:
"My shoulders and waist look uneven." This statement is more indicative of scoliosis, as mentioned earlier.
Uneven shoulders and waist are not the typical presentation of kyphosis.
Choice C rationale:
"I have an exaggerated inward curve in my lower back." This statement is associated with lordosis, not kyphosis.
Kyphosis primarily affects the upper back, while lordosis involves an excessive inward curve in the lumbar spine.
Choice D rationale:
"I experience lower back pain and fatigue." While pain and fatigue can be associated with spinal deformities, this statement does not specifically point to kyphosis.
It could apply to various spinal issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The patient with scoliosis typically presents with uneven shoulders and waist.
Scoliosis is characterized by a lateral curvature of the spine, which can cause an asymmetrical appearance of the shoulders and waist.
This curvature may become more noticeable when the patient bends forward or stands upright, as one side of the back may appear more prominent than the other.
Choice B rationale:
"I have a rounded upper back." This statement is not indicative of scoliosis.
A rounded upper back is more characteristic of kyphosis, which involves an excessive forward curvature of the thoracic spine.
Choice C rationale:
"I have an exaggerated inward curve in my lower back." This statement is not associated with scoliosis either.
An exaggerated inward curve in the lower back is a feature of lordosis, not scoliosis.
Choice D rationale:
"I experience difficulty standing upright." While scoliosis can potentially lead to discomfort and difficulty with posture, it is not the primary clinical presentation.
The primary feature of scoliosis is the lateral curvature of the spine and the resulting asymmetry in the shoulders and waist.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Encouraging regular physical exercise is a preventive measure that can help prevent spinal deformities.
Exercise can promote overall musculoskeletal health and prevent conditions such as scoliosis, kyphosis, and lordosis.
Choice B rationale:
Promoting awareness of good posture and ergonomics is crucial in preventing spinal deformities.
Teaching adolescents to maintain proper posture during activities and while using electronic devices can reduce the risk of developing these conditions.
Choice C rationale:
Educating individuals about maintaining a healthy weight is also essential in preventing spinal deformities.
Excess weight can place additional stress on the spine, increasing the risk of developing conditions like scoliosis.
Choice D rationale:
Advising against participating in any physical activities is not an appropriate recommendation.
Physical activity is generally beneficial for musculoskeletal health and should not be discouraged unless there are specific medical contraindications.
Choice E rationale:
Screening for early signs of spinal deformities during routine check-ups is a proactive approach to early detection and intervention, but it alone may not prevent these conditions.
Preventive actions such as exercise, posture awareness, and weight management should also be emphasized.
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