While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

“I've wondered why my child won't let me in the room when changing clothes."

"My child has such a hard time finding pants that fit right. They never seem to fit evenly over the hips."

"My child has been reporting back pain for the last 2 or 3 months."

"My child has been taking ibuprofen daily for the last few weeks because of hip pain after walking so much at school."

Answer and Explanation

The Correct Answer is B

A. The child’s reluctance to change clothes in front of others might suggest body image issues, but it doesn’t directly indicate spinal curvature.

B. Difficulty finding pants that fit evenly over the hips could indicate a scoliosis-related curvature, where one hip may be higher than the other.

C. Back pain could be related to various conditions, including scoliosis, but by itself, it’s not definitive for spinal curvature.

D. Daily use of ibuprofen for hip pain may indicate musculoskeletal issues but doesn’t directly relate to spinal curvature or scoliosis.

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Correct Answer is D

Explanation

A. Tea-colored urine is more typical of glomerulonephritis rather than nephrotic syndrome.

B. A recent streptococcus infection is commonly associated with post-streptococcal glomerulonephritis, not nephrotic syndrome.

C. Polyuria is not a common feature of nephrotic syndrome; rather, oliguria (decreased urine output) may occur.

D. Periorbital edema is a hallmark sign of nephrotic syndrome, resulting from significant protein loss in the urine, leading to hypoalbuminemia and fluid retention.

A. Limited range of motion in the affected hip B. Symmetry of the gluteal skinfolds when the infant is placed prone and the legs are extended C. Negative Barlow test D. Unaffected leg is pale and cool

Correct Answer is A

Explanation

A. Developmental dysplasia of the hip (DDH) often presents with a limited range of motion in the affected hip, particularly in abduction.

B. Asymmetry of the gluteal skinfolds, not symmetry, is a typical finding in DDH. This asymmetry is due to the improper alignment of the hip joint.

C. A positive Barlow test, where the hip can be dislocated by adduction and posterior pressure, is indicative of DDH. A negative Barlow test would suggest the absence of DDH.

D. A pale and cool leg is not a common finding in DDH. This would be more indicative of a circulatory problem, not hip dysplasia.

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While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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