A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Exaggerated curvature of the sacrum
Uneven shoulder and pelvic heights
Mild pain in the hip region
Limited range-of-motion of the hips
The Correct Answer is B
A) Exaggerated curvature of the sacrum: This is not a specific indicator of scoliosis. Scoliosis primarily involves lateral curvature of the spine, not an exaggerated curvature of the sacrum.
B) Uneven shoulder and pelvic heights: This is the correct answer. Scoliosis is characterized by an abnormal lateral curvature of the spine, which can lead to uneven shoulder and pelvic heights. This is a common clinical manifestation that nurses look for during screenings.
C) Mild pain in the hip region: While pain can sometimes accompany scoliosis, it is not a definitive clinical manifestation of the condition itself and is not typically used as an indicator during screenings.
D) Limited range-of-motion of the hips: Limited hip motion may occur due to other conditions but is not a primary sign of scoliosis. The assessment of scoliosis focuses more on spinal alignment and symmetry rather than hip mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Doxorubicin hydrochloride: This medication is an anthracycline chemotherapy agent and is considered a hazardous drug. It requires special handling and procedures to manage spills, as it can pose risks to both healthcare workers and the environment. Following facility protocols for biohazardous material spills is essential.
B) Metronidazole: While metronidazole is an antibiotic, it does not typically require the same level of handling as hazardous medications like doxorubicin. It is not classified as a biohazardous material.
C) Ampicillin sodium: This is a penicillin antibiotic and, while it requires standard precautions, it is not considered a hazardous drug. Therefore, it does not necessitate the same stringent procedures for spills.
D) Pheroin: It seems there might be a typographical error here, as "pheroin" does not refer to a known medication. If referring to "heroin," it's an illegal substance and would be handled under specific legal protocols, but not typically categorized as a biohazardous material spill in a healthcare context.
Correct Answer is B
Explanation
A. Insert an 18-gauge IV catheter: While establishing IV access is important for fluid resuscitation and medication administration, it is not the immediate priority in this scenario.
B. Apply 100% humidified oxygen: This action is critical as the client is showing signs of potential airway compromise (drooling and hoarseness), which may indicate edema or inhalation injury. Providing humidified oxygen can help maintain airway patency and support respiratory function, making it the top priority.
C. Obtain a baseline ECG: While cardiac monitoring is important in many emergency situations, it is not the immediate concern in this case, where airway issues are evident.
D. Obtain a blood specimen for ABG analysis: Although assessing arterial blood gases can provide useful information about the client's respiratory status, it is not the first priority when there are clear signs of airway compromise. Addressing the airway issue is critical to prevent respiratory failure.
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