(Select all that apply):
A nurse is assessing a client with lordosis.
Which factors should the nurse consider when assessing for potential causes of lordosis? (Select three).
Obesity.
Family history.
Participation in certain sports activities.
Osteoporosis.
Neuromuscular conditions.
Correct Answer : A,B,E
Choice A rationale:
"Obesity." Rationale: Obesity can contribute to lordosis by altering the distribution of body weight and placing additional stress on the lumbar spine.
Excessive abdominal weight can lead to an increased lumbar curve, which is characteristic of lordosis.
Therefore, choice A is correct.
Choice B rationale:
"Family history." Rationale: Family history is not a direct cause of lordosis.
Instead, it may indicate a genetic predisposition to certain musculoskeletal conditions or spinal abnormalities that could contribute to the development of lordosis in some individuals.
Therefore, choice B is relevant but not a direct cause.
Choice C rationale:
"Participation in certain sports activities." Rationale: This statement is not a direct cause of lordosis.
However, some sports or physical activities may exacerbate existing lordosis or increase the risk of developing lordotic posture, especially if they involve excessive arching of the lower back.
Therefore, choice C is not a direct cause but can be a contributing factor.
Choice D rationale:
"Osteoporosis." Rationale: Osteoporosis primarily affects bone density and can lead to increased spinal curvature (such as kyphosis) but is not a direct cause of lordosis.
Therefore, choice D is not a direct cause of lordosis.
Choice E rationale:
"Neuromuscular conditions." Rationale: Neuromuscular conditions that affect the muscles and nerves responsible for maintaining proper spinal alignment can lead to lordosis.
Conditions like muscular dystrophy or cerebral palsy may result in an abnormal curvature of the spine.
Therefore, choice E is correct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Decreased lung capacity and cardiovascular compromise can be potential complications of severe scoliosis, but these are not the primary complications to monitor for in this patient.
The most critical complications in severe scoliosis are related to the spine itself.
Choice B rationale:
Chronic pain and impaired organ function can indeed be potential complications of severe scoliosis, but these are not the primary complications to monitor for.
The question asks for the most critical complications associated with the condition.
Choice C rationale:
Respiratory difficulties and neurological deficits are the most critical complications to monitor for in a patient with severe scoliosis.
Severe spinal curvature can impede lung function and lead to respiratory problems.
Additionally, pressure on the spinal cord can result in neurological deficits.
Choice D rationale:
Psychological distress and limited mobility are potential consequences of severe scoliosis, but they are not the primary complications to monitor for.
The focus should be on the more immediate and life-threatening complications related to the spine, such as respiratory difficulties and neurological deficits.
Questions
Correct Answer is B
Explanation
Choice A rationale:
While postural exercises and physical therapy are essential components of kyphosis treatment, this choice does not directly address the client's concerns about potential complications.
The nurse should provide information on complications and their management.
Choice B rationale:
Severe cases of kyphosis can indeed lead to respiratory difficulties and spinal cord compression.
This choice is the most appropriate because it directly addresses the client's worries by providing information about potential complications associated with their condition.
Choice C rationale:
Collaborating with the healthcare team to develop a personalized care plan is important, but it does not specifically address the client's concerns about potential complications.
The nurse should first address these concerns and then discuss the care plan.
Choice D rationale:
Maintaining proper posture and engaging in regular physical exercise are essential for managing kyphosis, but this choice does not directly address the client's concerns about potential complications.
The nurse should provide information on complications first.
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