What is the earliest age at which a child should be evaluated for scoliosis?
15.
7.
10.
5.
The Correct Answer is C
Choice C rationale
Scoliosis screening typically begins around age 10 to coincide with the onset of the adolescent growth spurt, when the curvature of the spine is most likely to progress. Early detection during this period allows for timely intervention and management to prevent severe spinal deformities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Urinary tract infections can cause bladder irritation and dysfunction, leading to symptoms such as frequency, urgency, and nocturia, which can manifest as enuresis, especially secondary enuresis (bedwetting that starts after a period of dryness). Therefore, assessing for a UTI is a crucial first step to rule out a treatable medical cause. Normal urine specific gravity ranges from 1.005 to 1.030, and a urinalysis can detect the presence of bacteria, white blood cells, or nitrites indicative of infection.
Choice B rationale
Psychological stressors can contribute to enuresis, particularly secondary enuresis. Anxiety, family changes, or school-related stress can manifest physically. While important to explore, medical causes like UTIs should be ruled out first.
Choice C rationale
Sleep patterns are relevant in the context of enuresis, as bedwetting occurs during sleep. However, assessing for a medical cause like a UTI should precede a detailed evaluation of sleep habits.
Choice D rationale
A family history of enuresis can suggest a genetic predisposition. However, the immediate nursing priority is to assess for and rule out treatable underlying medical conditions, such as a urinary tract infection.
Correct Answer is C
Explanation
Choice A rationale
Gastroenteritis typically presents with vomiting, diarrhea, and abdominal pain. While a sore throat can occur with some viral gastroenteritis, excessive drooling and refusal to eat are less common primary symptoms.
Choice B rationale
A viral infection causing a sore throat can lead to refusal to eat and some difficulty swallowing, potentially causing mild drooling. However, excessive drooling and the described level of distress are less typical of a simple viral sore throat.
Choice C rationale
Excessive drooling, coughing, distress, and refusal to eat in a young child are highly suggestive of foreign body ingestion causing airway obstruction or irritation of the esophagus or trachea. The body's attempt to expel the object and the difficulty swallowing saliva lead to drooling and coughing.
Choice D rationale
An allergic reaction can cause throat swelling and difficulty breathing, but excessive drooling is not a primary symptom. Hives, itching, or other systemic symptoms would also likely be present.
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