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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A reason: Vomiting typically leads to metabolic alkalosis, not acidosis. It causes loss of hydrochloric acid from the stomach, reducing hydrogen ion concentration in the blood. This elevates blood pH above 7.45, as the body retains bicarbonate. The kidneys attempt to compensate by excreting excess bicarbonate, but this does not result in metabolic acidosis, making this choice incorrect.
Choice B reason: Thiazide diuretics increase sodium and water excretion, which can lead to mild metabolic alkalosis due to increased bicarbonate reabsorption in the kidneys. They do not cause a loss of bicarbonate or accumulation of acids, which are necessary for metabolic acidosis. Thus, this choice is incorrect as it does not contribute to an acidic blood state.
Choice C reason: Salicylate intoxication, such as from aspirin overdose, causes metabolic acidosis by increasing acid production. Salicylates stimulate the respiratory center, leading to hyperventilation and respiratory alkalosis initially, but they also disrupt mitochondrial function, causing lactic acid accumulation. This lowers blood pH below 7.35, meeting the criteria for metabolic acidosis, making this choice correct.
Choice D reason: Diarrhea results in significant bicarbonate loss through the stool, as the intestines secrete bicarbonate to neutralize gastric acid. This loss reduces the blood’s buffering capacity, lowering pH below 7.35, indicative of metabolic acidosis. The body may attempt to compensate via hyperventilation to reduce CO2, but the primary issue is bicarbonate depletion, making this choice correct.
Correct Answer is D
Explanation
Choice A reason: Avoidant personality disorder involves social withdrawal due to fear of rejection, not delusional beliefs like mind-reading. Clients with this disorder are shy and anxious, not prone to bizarre thoughts, making this choice incorrect for the client’s psychotic-like statement.
Choice B reason: Paranoid personality disorder involves pervasive distrust and suspicion, such as believing others are plotting against them. While paranoid, it does not typically include magical thinking like mind-reading, which is more characteristic of schizotypal personality disorder, making this choice incorrect.
Choice C reason: Antisocial personality disorder is characterized by disregard for others’ rights, impulsivity, and deceitfulness, not delusional beliefs like mind-reading. The client’s statement suggests a psychotic-like feature, which is not typical of antisocial behavior, making this choice incorrect.
Choice D reason: Schizotypal personality disorder includes odd beliefs, such as magical thinking or mind-reading, along with eccentric behavior. The client’s claim of reading minds aligns with this disorder’s characteristic perceptual distortions and unusual thoughts, making this the correct choice.
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