A nurse is assessing a patient with scoliosis.
Which clinical presentation findings should the nurse expect to observe in this patient?
"My shoulders and waist look uneven.”
"I have a rounded upper back.”
"I have an exaggerated inward curve in my lower back.”
"I experience difficulty standing upright.”
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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
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