To assess for the presence of kyphosis, which action should the nurse take?

Review findings of client's bone density exam.

Observe the client's overall body posture.

Palpate joints for tenderness and edema.

Guide the client through active range of motion.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Review findings of client's bone density exam: A bone density exam assesses for osteoporosis or osteopenia, which are risk factors for kyphosis, but it does not directly assess the presence or degree of spinal curvature. Observational examination is needed to identify kyphosis itself.

B. Observe the client's overall body posture: Kyphosis is characterized by an exaggerated outward curvature of the thoracic spine, leading to a hunched or stooped posture. Direct observation of the client’s posture provides the most accurate and immediate assessment of kyphosis during a physical examination.

C. Palpate joints for tenderness and edema: Palpating joints assesses for inflammation, arthritis, or localized joint disease. While these conditions can cause discomfort, they do not specifically evaluate spinal curvature or detect kyphosis.

D. Guide the client through active range of motion: Active range of motion assesses joint flexibility and mobility but does not primarily evaluate spinal alignment or postural abnormalities like kyphosis, which are better seen during standing posture observation.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:
A. "Why don't I come back in a few minutes after you are more composed.": Leaving the client alone during an emotional moment can convey disinterest or lack of support. It misses an opportunity to build trust and demonstrate empathy, which are critical in sensitive discussions like past pregnancy experiences.

B. Allow the client to compose herself then change the subject: Although allowing time for composure is respectful, abruptly changing the subject can minimize the client's emotions and signals avoidance rather than offering the necessary emotional support during a vulnerable moment.

C. Offer a tissue and sit quietly until the crying subsides: Offering a tissue and remaining present without rushing the client shows empathy, respect, and emotional support. Sitting quietly allows the client to express feelings at her own pace and fosters a trusting therapeutic relationship, essential in prenatal care.

D. "I'm so sorry that I made you cry. I didn't mean to upset you.": Apologizing focuses attention on the nurse's feelings rather than the client’s experience. It shifts the emotional burden to the client to reassure the nurse, which is not therapeutic or client-centered during emotional disclosures.

A. Soft tissue. B. Full bladder. C. Intestinal mass. D. Gas.

Correct Answer is D

Explanation

Rationale:
A. Soft tissue: Percussing over soft tissue typically produces a dull sound rather than a high-pitched, musical tone. Soft tissues like muscle and solid organs absorb sound, creating a muted percussion note.

B. Full bladder: A full bladder will produce a dull sound upon percussion because it is a fluid-filled structure. Dullness rather than high-pitched resonance would be expected over a distended bladder.

C. Intestinal mass: An intestinal mass would also result in a dull percussion note because solid structures or tumors absorb sound waves rather than producing a resonant or musical tone.

D. Gas: Gas within the intestines causes a tympanic, musical, high-pitched sound on percussion. This finding is normal over air-filled bowel loops and indicates the presence of intestinal gas.

View Question and Answer

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

To assess for the presence of kyphosis, which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman comes to the clinic for her first prenatal visit. The nurse is conducting a health history and the woman begins to cry when asked about previous pregnancies. Which response is best for the nurse to provide?

Correct Answer is C

Explanation

While percussing the abdomen of an adult male client, the nurse encounters a musical high-pitched sound. Which does this finding indicate?

Correct Answer is D

Explanation

The nurse determines that a male client has smoked 2 packs of cigarettes daily for the past 20 years. In calculating his smoking history, how many pack-years should be documented for this client? (Enter numeric value only.)

The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?

The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the nurse assesses for which possible finding(s)? Select all that apply.

Exhibits The nurse is admitting the client to the stroke unit and preparing to complete a focused neurological assessment. Which assessment(s) should the nurse conduct? Select all that apply.

The nurse is completing an assessment for a client with uncontrolled diabetes mellitus (DM) who came to the clinic reporting frequent, painful urination. Which screening test should the nurse perform first?

While the nurse is taking a health history, the client announces, "I don't have time for this. This is a waste of time. I need treatment." Which response is best for the nurse to provide?

The nurse has just completed palpation maneuvers for lymph nodes on an older adult female client. Which findings are considered normal for this older adult client?