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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.
B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.
C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.
D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.
Correct Answer is D
Explanation
A) Immunize all children under age 5 in the one hundred family aggregate:
Immunization would be a standard preventive measure to control the spread of whooping cough, but in this case, the immediate focus should be on managing the current outbreak. Ensuring that the child with whooping cough and their close contacts are managed appropriately is crucial, rather than preemptively immunizing all children in the aggregate without addressing the existing case.
B) Immunize all members of the one hundred families:
While immunization is essential in preventing whooping cough, implementing this measure without considering the specific outbreak context and the families' religious beliefs might not be feasible or immediately effective. Additionally, managing the outbreak and containing its spread is the immediate priority.
C) Quarantine the one hundred family aggregate:
Quarantining an entire aggregate of families, especially when the infection is present in only one documented case, would be excessive and likely impractical. Quarantine measures should be targeted to those directly exposed or infected to prevent further spread.
D) Quarantine all family members of the child with whooping cough:
Quarantining all family members of the child with whooping cough is the most appropriate immediate intervention. This targeted quarantine helps prevent the spread of the infection within the affected household and controls the outbreak. It addresses the specific exposure and containment needs of the situation effectively.
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