The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving the client?
Flex the knees.
Raise the hips.
Cross the arms and legs.
Perform a log roll.
The Correct Answer is D
Choice A rationale
Flexing the knees is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. While it may provide some comfort, it does not provide the necessary support to the spine that is needed during movement.
Choice B rationale
Raising the hips is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action could potentially cause strain or damage to the surgical site.
Choice C rationale
Crossing the arms and legs is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action does not provide the necessary support to the spine during movement.
Choice D rationale
Performing a log roll is the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This technique involves the patient keeping their body in alignment while turning onto their side. It helps to maintain the integrity of the spinal fusion and prevent injury to the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The adolescent client’s symptoms of localized pain, swelling, and tenderness, particularly at night, are suggestive of a malignancy such as osteosarcoma, which is the most common primary bone tumor in children and adolescents. Radial ossification in the soft tissues is a characteristic finding in osteosarcoma and is indicative of bone production by malignant cells.
Choice B rationale
Hemosiderosis is a rare condition characterized by the accumulation of iron in various tissues, including the liver, spleen, and bone marrow. It may present with symptoms such as fatigue, joint pain, and abdominal pain, but is not typically associated with the symptoms and imaging findings described in the case scenario.
Choice C rationale
Growing pains are a common, benign condition that occur in children and do not typically present with the symptoms described in the case scenario.
Choice D rationale
Rhabdomyolysis is a medical emergency that involves the breakdown of skeletal muscle tissue and release of muscle fiber contents into the bloodstream. It can present with muscle pain, swelling, and tenderness, but typically occurs as a result of injury, infection, or drug toxicity.
Correct Answer is A
Explanation
Choice A rationale
The startle reflex, also known as the Moro reflex, is a normal response in newborns but typically disappears around 4 to 6 months of age. If a 6-month-old infant still demonstrates this reflex, it may indicate neurological issues that require further evaluation.
Choice B rationale
Playing “peek-a-boo” is a normal developmental milestone for a 6-month-old infant. It shows that the infant is starting to understand object permanence, which is the understanding that objects continue to exist even when they cannot be seen.
Choice C rationale
Doubling birth weight by 6 months is a normal growth milestone for infants. This indicates that the infant is growing and developing as expected.
Choice D rationale
Turning the head to locate sound is a normal developmental milestone for a 6-month-old infant. This shows that the infant’s hearing and neck muscles are developing appropriately.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today