A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?

Kyphosis

Scoliosis

Lordosis

Ankylosis

Answer and Explanation

The Correct Answer is A

A. Kyphosis: Excessive forward curvature of the thoracic spine, commonly due to osteoporosis-related bone loss in older adults.

B. Scoliosis refers to a lateral curvature of the spine.

C. Lordosis: exaggerated inward curvature of the lumbar spine, often seen in pregnancy or obesity.

D. Ankylosis: abnormal stiffening or fusion of joints, unrelated to spinal curvature.

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Correct Answer is D

Explanation

A. Apply cornstarch to keep the skin dry. Cornstarch can cause skin irritation or promote bacterial/fungal growth, which increases the risk of breakdown rather than preventing it.

B. Reposition the client every 3 hr. Clients at risk for skin breakdown should be repositioned at least every 2 hours to relieve pressure and prevent pressure ulcers.

C. Massage bony prominences to promote circulation. Massaging bony prominences can cause tissue damage and increase the risk of pressure ulcers instead of preventing them.

D. Provide the client with a diet high in protein. Protein is essential for skin repair and maintenance, helping prevent breakdown and promote healing.

A. Prior to inspecting the abdomen B. After checking for kidney tenderness C. After palpating the abdomen D. Prior to palpating the abdomen

Correct Answer is D

Explanation

A. Prior to inspecting the abdomen. The correct order of abdominal assessment is inspection → auscultation → percussion → palpation to avoid altering bowel sounds.

B. After checking for kidney tenderness. Assessing kidney tenderness is done through percussion, which should be performed after auscultation.

C. After palpating the abdomen. Palpation can stimulate bowel activity, potentially leading to false findings during auscultation.

D. Prior to palpating the abdomen. Auscultation should be done before palpation to prevent artificially altering bowel sounds.

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A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?