A school nurse is performing scollosis screenings. The nurse should recognize which of the following clinical manifestations as an Indication of scollosis?

Uneven shoulder and pelvic heights

Mild pain in the hip region

Exaggerated curvature of the sacrum

Limited range-of-motion of the hips

Answer and Explanation

The Correct Answer is A

A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.

C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.

D. Limited range-of-motion of the hips is not a specific indicator of scoliosis

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Correct Answer is B

Explanation

A. While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.
B. Thyroid storm can precipitate severe cardiac complications, making continuous monitoring of the client's cardiac rhythm imperative to detect any abnormalities promptly.
C. Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.
D. While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.

A. Schedules a bag and tubing change for 24 hr after the start of the infusion B. Plans for a check of the client's fingerstick glucose level every 6 hr C. Gradually increases the TPN infusion rate each hour until the prescribed rate is achieved D. Uses the TPN IV tubing to administer the client's next dose of antibiotics

Correct Answer is D

Explanation

A: Changing the TPN bag and tubing every 24 hours is standard practice to prevent infection, so this action is appropriate.
B: Checking glucose levels every 6 hours is necessary because TPN can significantly affect blood glucose levels.
C: Gradually increasing the TPN rate is a standard procedure to monitor tolerance to the infusion.
D: This indicates a need for intervention. TPN lines should not be used for any other infusions to prevent contamination and interactions between the nutrition formula and medications.

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A school nurse is performing scollosis screenings. The nurse should recognize which of the following clinical manifestations as an Indication of scollosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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