A client with lordosis is experiencing limited mobility and postural abnormalities.
What should the nurse prioritize when planning care for this client?
"I will assist you in finding ways to alleviate psychological distress.”
"Let's focus on maintaining core strength through exercise and therapy.”
"I can help you address the underlying cause of your condition.”
"We should screen for early signs of spinal deformities during your check-up.”
The Correct Answer is B
Choice A rationale:
While addressing psychological distress is important, the priority for a client with lordosis experiencing limited mobility and postural abnormalities should be to focus on maintaining core strength through exercise and therapy.
This can help improve posture and mobility.
Choice B rationale:
Maintaining core strength through exercise and therapy is crucial for addressing the postural abnormalities associated with lordosis.
Strengthening the core muscles can improve posture and reduce the strain on the spine.
Choice C rationale:
Addressing the underlying cause of lordosis is important, but it may not always be feasible or the top priority.
The nurse should focus on interventions that can directly improve the client's condition, such as exercise and therapy.
Choice D rationale:
Screening for early signs of spinal deformities during a check-up is not the primary concern for a client with lordosis.
The condition is already known, and the focus should be on addressing the client's mobility and postural issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While postural exercises and physical therapy are essential components of kyphosis treatment, this choice does not directly address the client's concerns about potential complications.
The nurse should provide information on complications and their management.
Choice B rationale:
Severe cases of kyphosis can indeed lead to respiratory difficulties and spinal cord compression.
This choice is the most appropriate because it directly addresses the client's worries by providing information about potential complications associated with their condition.
Choice C rationale:
Collaborating with the healthcare team to develop a personalized care plan is important, but it does not specifically address the client's concerns about potential complications.
The nurse should first address these concerns and then discuss the care plan.
Choice D rationale:
Maintaining proper posture and engaging in regular physical exercise are essential for managing kyphosis, but this choice does not directly address the client's concerns about potential complications.
The nurse should provide information on complications first.
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.
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