The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?

Make a referral to have the scoliosis further evaluated.

Measure the degree of the thoracic and lumbar curvature.

Ask about the student's ability to participate in sports.

Review students health record for a recent growth spurt.

Answer and Explanation

The Correct Answer is A

A) Make a referral to have the scoliosis further evaluated:
Making a referral for further evaluation is the most important intervention. A noticeable unequal symmetry of the upper and lower back suggests the possibility of scoliosis, a condition that requires accurate diagnosis and assessment by a specialist. An orthopedic evaluation or consultation with a healthcare provider can provide a definitive diagnosis and guide appropriate management or treatment.

B) Measure the degree of the thoracic and lumbar curvature:
Measuring the degree of curvature can provide useful information about the severity of scoliosis but should be done by a healthcare professional specializing in scoliosis. Initial steps should focus on referring the student for a comprehensive evaluation, which will include assessing the degree of curvature along with other diagnostic procedures.

C) Ask about the student's ability to participate in sports:
While it is important to consider the student's ability to participate in sports, this is not the immediate priority. The primary concern should be obtaining a proper diagnosis and assessment of the potential scoliosis to determine if there are any limitations or necessary modifications in physical activities.

D) Review students' health record for a recent growth spurt:
Reviewing the health record for a recent growth spurt may provide context, as rapid growth can influence scoliosis development or progression. However, the most critical step is to refer the student for further evaluation to address the observed signs of scoliosis and determine the appropriate course of action.

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Correct Answer is B

Explanation

A) 80% of the students attend a voluntary sex education seminar:
While a high attendance rate at a sex education seminar indicates interest and participation in the program, it does not directly measure the program's impact on preventing student pregnancy. Attendance alone does not provide evidence of behavioral change or reduced pregnancy rates among students.

B) Students report an average delay of 2 years for their first sexual experience:
An average delay in the age of first sexual experience is a strong indicator of the program's effectiveness in influencing behavior. Delaying sexual activity can reduce the risk of unintended pregnancies, showing that the program has successfully impacted students' decisions regarding sexual activity.

C) Students requesting information about adolescent pregnancy has increased by 25%:
An increase in requests for information about adolescent pregnancy may suggest growing awareness or curiosity, but it does not directly measure changes in pregnancy rates or the effectiveness of the prevention program in reducing pregnancies.
D) 75% of the parents agree to support a pregnancy prevention program in the schools:
While parental support is important for the success of health programs, this measure reflects support and approval rather than direct outcomes related to pregnancy prevention. The effectiveness of the program is better gauged by changes in student behavior and pregnancy rates, rather than parental agreement.

A. Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels. B. Advise the residents to keep their porch lights on during hours that children are walking to and from school. C. Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood. D. Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times.

Correct Answer is C

Explanation

A) Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels:
While inspecting for lead in older homes is important for general child safety and health, it is not directly related to the immediate safety of children walking to and from school. This action focuses on environmental health rather than direct safety measures for pedestrian routes.

B) Advise the residents to keep their porch lights on during hours that children are walking to and from school:
Keeping porch lights on can enhance visibility and deter potential hazards, but this action alone may not comprehensively address all safety concerns related to walking routes, such as traffic and pedestrian infrastructure.

C) Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood:
Designating safe houses provides a structured and effective approach to improving safety for children walking to and from school. Safe houses can offer a refuge in emergencies, enhancing overall safety and security. This approach directly supports the goal of increasing safety along the school routes.

D) Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times:
Encouraging seatbelt use is important for overall traffic safety but does not specifically address the safety of children walking to and from school. While it contributes to broader traffic safety, it does not directly impact pedestrian safety or walking routes.

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The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?

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Naxlex Comprehensive Predictor Exams

Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?

Correct Answer is B

Explanation

The nurse is working with a Parent Teacher Organization (PTO) to increase safety for children walking to and from a nearby elementary school. Which action should the nurse include to help achieve this goal?

Correct Answer is C

Explanation

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