A nurse is assessing a patient with lordosis.
Which clinical manifestation is commonly associated with lordosis?
"My shoulders and waist look uneven.”
"I have a rounded upper back.”
"I have an exaggerated inward curve in my lower back.”
"I experience protruding buttocks.”
The Correct Answer is D
Lordosis, also known as swayback, is characterized by an exaggerated inward curve in the lumbar spine, which can result in protruding buttocks.
This statement accurately reflects the clinical manifestation commonly associated with lordosis.
Choice A rationale:
"My shoulders and waist look uneven." This statement is more indicative of scoliosis, as previously discussed.
Uneven shoulders and waist are not a typical presentation of lordosis.
Choice B rationale:
"I have a rounded upper back." This statement is characteristic of kyphosis, not lordosis.
Kyphosis involves an excessive forward curvature of the thoracic spine, leading to a rounded upper back.
Choice C rationale:
"I have an exaggerated inward curve in my lower back." This statement describes lordosis itself, so it is redundant as a clinical manifestation commonly associated with lordosis.
It does not provide additional information about the condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Decreased lung capacity and cardiovascular compromise can be potential complications of severe scoliosis, but these are not the primary complications to monitor for in this patient.
The most critical complications in severe scoliosis are related to the spine itself.
Choice B rationale:
Chronic pain and impaired organ function can indeed be potential complications of severe scoliosis, but these are not the primary complications to monitor for.
The question asks for the most critical complications associated with the condition.
Choice C rationale:
Respiratory difficulties and neurological deficits are the most critical complications to monitor for in a patient with severe scoliosis.
Severe spinal curvature can impede lung function and lead to respiratory problems.
Additionally, pressure on the spinal cord can result in neurological deficits.
Choice D rationale:
Psychological distress and limited mobility are potential consequences of severe scoliosis, but they are not the primary complications to monitor for.
The focus should be on the more immediate and life-threatening complications related to the spine, such as respiratory difficulties and neurological deficits.
Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
"Obesity." Rationale: Obesity can contribute to lordosis by altering the distribution of body weight and placing additional stress on the lumbar spine.
Excessive abdominal weight can lead to an increased lumbar curve, which is characteristic of lordosis.
Therefore, choice A is correct.
Choice B rationale:
"Family history." Rationale: Family history is not a direct cause of lordosis.
Instead, it may indicate a genetic predisposition to certain musculoskeletal conditions or spinal abnormalities that could contribute to the development of lordosis in some individuals.
Therefore, choice B is relevant but not a direct cause.
Choice C rationale:
"Participation in certain sports activities." Rationale: This statement is not a direct cause of lordosis.
However, some sports or physical activities may exacerbate existing lordosis or increase the risk of developing lordotic posture, especially if they involve excessive arching of the lower back.
Therefore, choice C is not a direct cause but can be a contributing factor.
Choice D rationale:
"Osteoporosis." Rationale: Osteoporosis primarily affects bone density and can lead to increased spinal curvature (such as kyphosis) but is not a direct cause of lordosis.
Therefore, choice D is not a direct cause of lordosis.
Choice E rationale:
"Neuromuscular conditions." Rationale: Neuromuscular conditions that affect the muscles and nerves responsible for maintaining proper spinal alignment can lead to lordosis.
Conditions like muscular dystrophy or cerebral palsy may result in an abnormal curvature of the spine.
Therefore, choice E is correct.
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