The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

Scoliosis.

Lordosis.

Kyphosis.

Dowager's hump.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Scoliosis refers to a lateral curvature of the spine, not an exaggeration of the lumbar spine curve, which is characterized by lordosis.

Choice B rationale

Lordosis is an exaggerated inward curve of the lumbar spine, often referred to as swayback. This condition is identified by the nurse as the client presents with an exaggerated lumbar curve.

Choice C rationale

Kyphosis describes an excessive outward curvature of the thoracic spine, resulting in a hunched back, not the lumbar spine.

Choice D rationale

Dowager's hump is a term commonly associated with kyphosis, characterized by a pronounced curvature of the upper back, not the lumbar region.

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Correct Answer is D

Explanation

Choice A rationale

A 5% deficit in body weight compared to pre-illness weight and increased caloric need may indicate the need for nutritional intervention, but it is not specific to parenteral nutrition. Acute pancreatitis patients often have difficulty maintaining nutritional intake due to pain and digestive issues, but a 5% weight deficit alone isn't a definitive trigger for PN.

Choice B rationale

A significant risk of aspiration and decreased level of consciousness indicates the need for close monitoring and possibly intubation to protect the airway. However, this alone doesn't necessitate parenteral nutrition unless it is combined with the inability to consume adequate nutrition orally or enterally.

Choice C rationale

A calorie deficit, muscle wasting, and low electrolyte levels are serious concerns that warrant nutritional support, but the specific indicator for parenteral nutrition is the inability to meet nutritional needs through oral or enteral routes. PN is a method to provide nutrition when GI tract use is not possible or adequate.

Choice D rationale

Inability to take adequate oral food or fluids within 7 days is a clear indication for parenteral nutrition. For patients with acute pancreatitis who cannot tolerate oral or enteral feeding, PN ensures they receive the necessary nutrients to support recovery and prevent further complications.

A. Balance. B. Hearing. C. Speech. D. Vision.

Correct Answer is C

Explanation

Choice A rationale

Damage to Broca's area of the left frontal lobe does not typically affect balance. Balance is more associated with the cerebellum and inner ear structures.

Choice B rationale

Hearing is processed primarily in the temporal lobe, not in Broca's area of the frontal lobe. Damage to Broca's area does not typically impact hearing.

Choice C rationale

Broca's area is responsible for speech production and language processing. Damage to this area can result in Broca's aphasia, characterized by difficulty in speaking and writing but with relatively preserved comprehension.

Choice D rationale

Vision is primarily processed in the occipital lobe. Damage to Broca's area does not affect vision.

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The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

Correct Answer is D

Explanation

A client has been diagnosed with damage to Broca's area of the left frontal lobe. To document the extent of damage, the nurse would assess the client's:

Correct Answer is C

Explanation

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