Nokea
Nurse preparing wellness presentation for families at community center. When discussing health screenings for adolescents, which info about scoliosis should nurse include? (Select all that apply.)
- A. Scoliosis is more common in girls than in boys
- B. Loss of height is often first sign of scoliosis
- C. Scoliosis screening is essential during adolescent growth spurt
- D. Slouching is common cause of scoliosis, especially in adolescents
- E. Scoliosis is forward curvature of spine
Correct Answer: A,C
Rationale: Correct Answer: A, C
A: Scoliosis is more common in girls than in boys - This is correct. Scoliosis is indeed more prevalent in girls compared to boys, with a ratio of about 7:1.
C: Scoliosis screening is essential during adolescent growth spurt - This is correct. Screening during the adolescent growth spurt is crucial as this is when scoliosis progression is most likely to occur.
B: Loss of height is often first sign of scoliosis - This is incorrect. The first sign of scoliosis is typically asymmetry or a visible curvature of the spine.
D: Slouching is a common cause of scoliosis, especially in adolescents - This is incorrect. Slouching is not a direct cause of scoliosis; it can exacerbate existing curvature but does not cause scoliosis.
E: Scoliosis is a forward curvature of the spine - This is incorrect. Scoliosis involves a lateral (side
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Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn?
- A. I don't want my spouse to see my incision
- B. Will you be able to give me pain meds after surgery?
- C. Can you tell me about how long the surgery will take?
- D. My roommate listens to everything I say
Correct Answer: C
Rationale: The correct answer is C because the client is showing readiness to learn by asking a relevant question about the surgery process. This indicates an active interest in understanding what will happen during the procedure, which is crucial for preparing mentally and emotionally. Choice A is more focused on personal discomfort, not readiness to learn. Choice B is about pain management, not understanding the surgical process. Choice D is unrelated to the situation.
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure?
- A. I will get the caller off the phone ASAP to alert the staff
- B. I will use overhead paging to alert entire facility
- C. I will not ask any questions & just let the caller talk
- D. I will listen for background noises
Correct Answer: D
Rationale: The correct answer is D because listening for background noises can provide crucial information to identify the location or nature of the threat. By actively listening, the security officer can gather valuable details without alerting the caller. Choice A is incorrect because abruptly ending the call may prevent gathering important information. Choice B is incorrect as overhead paging may cause panic. Choice C is incorrect as asking questions can elicit useful details.
Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)
- A. Building simple models
- B. Working with clay
- C. Filling & emptying containers
- D. Playing with blocks
- E. Looking at books
Correct Answer: C,D,E
Rationale: The correct activities for toddlers should focus on their developmental needs. Filling & emptying containers (C) helps with sensory exploration and fine motor skills. Playing with blocks (D) enhances problem-solving and hand-eye coordination. Looking at books (E) promotes language development and cognitive skills. Building simple models (A) and working with clay (B) may not be suitable for toddlers due to potential choking hazards and fine motor skill requirements.
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which client should be assigned to room closest to the nursing station?
- A. 43-year-old client post-op following laparoscopic cholecystectomy
- B. 61-year-old client being admitted for telemetry to rule out MI
- C. 50-year-old client post-op following open reduction internal fixation of ankle
- D. 79-year-old client post-op following below-the-knee amputation
Correct Answer: D
Rationale: The correct answer is D. The 79-year-old client post-op following below-the-knee amputation should be assigned to the room closest to the nursing station for fall prevention. This is because this client may have mobility challenges and an increased risk of falls due to the recent surgery and potential use of assistive devices. Placing the client closer to the nursing station allows for closer monitoring and quicker assistance in case of any fall-related incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy is not necessarily at an increased risk for falls related to mobility issues.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI is not specifically at a higher risk for falls compared to the client post-amputation.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of the ankle may have mobility limitations, but the risk of falls is typically lower compared to a client post
Nurse educator is teaching module on proper body mechanics during employee orientation. Which statement by new nurse indicates need for more teaching?
- A. My line of gravity should fall outside my base of support
- B. The lower my center of gravity
- C. the more stability I have
- D. To broaden my base of support
- E. I should spread my feet apart
- F. I should hold it as close to my body as possible
Correct Answer: A
Rationale: Answer A is correct because the statement "My line of gravity should fall outside my base of support" indicates a misunderstanding of proper body mechanics. The line of gravity should fall within the base of support to maintain balance and prevent falls. Choices B, C, D, E, and F all reflect accurate understanding of body mechanics, emphasizing lowering the center of gravity, broadening the base of support, spreading feet apart for stability, and holding objects close to the body for leverage and control. Therefore, these choices do not indicate a need for more teaching.