What is the nursing priority for patients diagnosed with scoliosis?
Breathing issues
Sleeping pattern
Pain management
Mobility
The Correct Answer is C
Choice A reason: Breathing issues may occur in severe scoliosis with significant thoracic curvature, compressing lungs and reducing respiratory capacity. However, this is not the priority for most patients, as pain from spinal misalignment is more common and immediate, requiring intervention to improve quality of life.
Choice B reason: Sleeping pattern is not a priority in scoliosis management. While discomfort may affect sleep, pain from spinal curvature and muscle strain is the primary concern, as it directly impacts daily functioning and requires targeted interventions like analgesics or bracing.
Choice C reason: Pain management is the nursing priority for scoliosis, as lateral spinal curvature causes muscle strain, facet joint stress, and discomfort, particularly in progressive cases. Pain, mediated by inflammatory cytokines and mechanical stress, affects quality of life, making it the primary focus for symptom relief and patient comfort.
Choice D reason: Mobility is important in scoliosis but secondary to pain management. While curvature may limit movement, pain is the primary complaint driving functional impairment. Addressing pain through medication or physical therapy enhances mobility, making pain management the more urgent priority.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Encouraging the client to talk about the trauma may be therapeutic but is not the priority. Trauma-informed care prioritizes safety to stabilize the client, as discussing trauma without ensuring safety can exacerbate distress, particularly if the client feels vulnerable or unsupported.
Choice B reason: Assessing social and family support is important for long-term recovery but secondary to immediate safety. Trauma-informed care emphasizes creating a secure environment first, as lack of safety can hinder effective support assessment and exacerbate psychological distress from trauma.
Choice C reason: Contacting a social worker to report abuse is necessary if abuse is confirmed, but it is not the initial priority. Ensuring the client’s immediate physical and emotional safety takes precedence, as reporting without safety measures may escalate risk or distress.
Choice D reason: Ensuring the client’s safety is the priority in trauma-informed care, addressing immediate physical and emotional threats. Safety stabilizes the client, reducing stress hormone release (e.g., cortisol) and creating a foundation for trust, enabling further therapeutic interventions like support assessment or trauma discussion.
Correct Answer is B
Explanation
Choice A reason: Being free of amputations indicates no severe complications but does not directly measure glycemic control in type 1 diabetes. Amputations result from long-term complications like neuropathy or vascular disease, not immediate blood sugar levels, making this choice less specific.
Choice B reason: Hemoglobin A1C of 5.4% reflects average blood glucose levels over 2–3 months, with 5.4% indicating excellent control (target <7% for type 1 diabetes). It directly measures glycemic management, crucial for preventing complications, making this the correct indicator of good control.
Choice C reason: A fasting blood sugar of 200 mg/dL is high (target 80–130 mg/dL), indicating poor glycemic control. Elevated levels suggest inadequate insulin management, increasing complication risks, making this choice incorrect for good control of type 1 diabetes.
Choice D reason: Blood pressure of 150/90 mmHg is hypertensive but does not directly indicate glycemic control in type 1 diabetes. While hypertension is a complication risk, it is not a primary measure of diabetes management, making this choice incorrect.
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