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 C
Explanation
Choice A rationale
Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.
Choice B rationale
Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.
Choice C rationale
Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.
Choice D rationale
Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.
Correct Answer is D
Explanation
Choice A rationale
Techniques for performing neck ROM exercises might be relevant but are secondary to the immediate postoperative care following a cervical discectomy.
Choice B rationale
Restoring nerve function is a goal but not directly linked to discharge education strategies after cervical discectomy.
Choice C rationale
Home assessment of ABGs is not relevant to discharge education for a cervical discectomy, as it pertains more to respiratory status monitoring.
Choice D rationale
Care of the cervical collar is essential post-discectomy as it provides stability, reduces strain on the cervical spine, and supports the healing process, making it a critical part of discharge education.
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