A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward.
The nurse should expect to read about what health problem in the client's electronic health record?
Scoliosis.
Muscular dystrophy.
Kyphosis.
Lordosis.
The Correct Answer is A
Choice A rationale
Scoliosis is characterized by a lateral curvature of the spine, often identified by uneven shoulders and a prominent scapula. The forward bending test accentuates these physical signs, helping to diagnose scoliosis.
Choice B rationale
Muscular dystrophy involves progressive muscle weakening and wasting, typically symmetrical, not causing the asymmetry seen in scoliosis. It usually doesn't present with the specific spinal curvature of scoliosis.
Choice C rationale
Kyphosis involves a forward rounding of the upper back, not a lateral curvature. It presents as a hunched or rounded back rather than uneven shoulders and prominent scapula.
Choice D rationale
Lordosis refers to an exaggerated inward curve of the lower back, not involving uneven shoulders or scapula. It affects the lumbar spine rather than presenting the scoliosis-related signs described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.
Choice B rationale
Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.
Choice C rationale
Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.
Choice D rationale
Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.
Correct Answer is D
Explanation
Choice A rationale
Necrosis is tissue death resulting from prolonged pressure, often a consequence rather than the direct cause of pressure ulcers. The primary cause is sustained pressure impairing blood flow.
Choice B rationale
Low capillary pressure does not directly cause pressure ulcers. They result from sustained external pressure exceeding capillary perfusion pressure, leading to ischemia and tissue damage.
Choice C rationale
Increased mobility actually prevents pressure ulcers by reducing sustained pressure on any one area, enhancing blood flow and tissue health. Immobility is a significant risk factor, not increased mobility.
Choice D rationale
Extrinsic factors like sustained pressure, friction, shear, and moisture contribute directly to pressure ulcer development by compromising skin integrity and blood flow, leading to tissue ischemia and damage.
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