A parent brings his son to a community clinic with concerns about his posture. On assessment, the nurse notes that there is an abnormal curvature of the thoracic spine that results in a "hunchback" appearance

What disorder would the nurse suspect? A) Lordosis
B) Kyphosis
C) Scoliosis
D) Juvenile rheumatoid arthritis


B
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Kyphosis is an abnormal curvature of the thoracic spine that results in a "hunchback" appearance. It can result from disease (e.g., tuberculosis), compression fractures, or arthritis. Lordosis is an exaggerated curvature of the lumbar spine in which the pelvis tips forward. It may result from a disease process, or it may be idiopathic. Scoliosis is a lateral curvature, resulting in an S-shaped spinal appearance. Juvenile rheumatoid arthritis (JRA) is a generalized systemic disease of the entire musculoskeletal system. It can lead to deformities, contractures, and impaired movement.

Nursing

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The nurse is teaching the client how to administer a sublingual tablet in the home setting. What is the highest priority instruction?

a. Take nothing by mouth for one hour before taking the medication. b. Avoid taking fluid with the medication. c. Gently place the tablet between the teeth and gums. d. Take the medication with food so as to avoid gastrointestinal irritation.

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