The school nurse is performing scoliosis checks at the elementary school. Which of the following would not apply to scoliosis?
A. Scoliosis will become worse for the child who is not compliant with their medication
B. A 12-year-old girl's thoracic area is asymmetrical
C. A girl or boy with scoliosis will get worse during a growth spurt at puberty
D. The hem of a straight skirt on a 10-year-old is longer on one side than the other
Answer: A. Scoliosis will become worse for the child who is not compliant with their medication
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After a nurse addresses an agitated client by setting limits in a calm, direct manner, the client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the approach as ineffective because:
1. The nurse lacks rapport with the client. 2. The nurse lacks adequate de-escalation and limit setting skills. 3. Some clients have limited control, so verbal interventions may not work, but this is not reflective of the nurse's skill. 4. In some cases verbal de-escalation and limit setting will not work and the nurse should start with a more restrictive measure.
A patient is admitted to the hospital with an open fracture, which was originally heavily contaminated. In preparing the plan of care for this patient, the nurse recognizes that the wound will likely be closed:
A) 4 to 8 weeks after the infection is absent B) 5 to 7 days after the infection is absent C) When swelling is absent D) Immediately upon admission to the orthopedic unit after transfer from the emergency department
As the nurse assists a new mother with breastfeeding, she asks, "If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?" The nurse's best response is that it contains
a. More calories b. Essential amino acids c. Important immunoglobulins d. More calcium
A patient has been placed on a feeding tube. To prevent aspiration, a nurse should place the patient's bed in the
1. Flat position. 2. Fowler position. 3. Trendelenburg position. 4. Semi-Fowler position.