Final Exam: NR304 / NR 304 (Latest
Update ) Health
Assessment II | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Which statement by a 15-year-old client who wears a brace for scoliosis
indicates effective use of the brace?
a. "I am glad that I only have to wear this thing at night."
b. "The brace doesn't fit under my homecoming dress so I am not going to
wear it."
c. "I can take this thing off whenever I get tired of it."
d. "I'll look forward to taking this thing off to take a shower every day."
Answer:
"I'll look forward to taking this thing off to take a shower every day."
,Question:
Which treatments would the nurse recommend for this client with moderate
scoliosis? Select if the nurse would recommend or not recommend the
treatment.
a. Spinal fusion
b. Counseling
c. Physical therapy
d. Observation
e. Brace
f. Pain medication
g. Muscle relaxant
Answer:
Recommended
Counseling, physical therapy, a brace, pain medication, and muscle relaxants
Not Recommended
Observation, Spinal fusion
Question:
Prioritize the nursing actions based on assessment findings. Which nursing
action would the nurse prioritize first when assessing the client after being
fitted for a back brace? Select which action the nurse will perform right away
and which would not be priority actions.
,a. Psych consultation for expressed sadness about the diagnosis
b. Examination for reported shortness of breath
c. Eye examination for reddened eyes
Answer:
Priority Action
Examination for reported shortness of breath
Non-priority Action
Psych consultation for expressed sadness about the diagnosis
Eye examination for reddened eyes
Question:
The nurse is providing education about scoliosis to the client and parents.
Which statements about scoliosis by the client and family indicate
understanding? Select all that apply.
a. Scoliosis appears in girls more than in boys.
b. Muscle spasms may occur from immobility with brace wearing.
c. In most cases of scoliosis, healthcare providers know the cause.
d. A risk factor for scoliosis is inactivity.
e. Muscle spasms are common in scoliosis.
f. Scoliosis commonly appears after puberty.
Answer:
Scoliosis appears in girls more than in boys.
Muscle spasms may occur from immobility with brace wearing.
, Muscle spasms are common in scoliosis.
Question:
Based on knowledge of scoliosis and developmental stages, how should the
nurse explain scoliosis to an 11-year-old client?
a. "The spine is supposed to be straight and yours is not. It is the wrong shape
so you may have to wear a brace or have surgery to fix it."
b. "Everyone's spine has natural curves. Some children have spines that may
curve from side to side. This is called scoliosis."
c. "Your back has bone that holds your body up. These bones are not in the
correct spot so we need to fix that."
d. "Scoliosis is a three-dimensional abnormal deviation in the axis of the
spine. It is idiopathic in nature."
Answer:
"Everyone's spine has natural curves. Some children have spines that may
curve from side to side. This is called scoliosis."
Question:
Which nursing actions demonstrate a potential cause of failure to rescue?
Select all that apply.
a. Administer STAT medication 2 hours after it was ordered.
b. Review the client's current laboratory results before administering
medication.
Update ) Health
Assessment II | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Which statement by a 15-year-old client who wears a brace for scoliosis
indicates effective use of the brace?
a. "I am glad that I only have to wear this thing at night."
b. "The brace doesn't fit under my homecoming dress so I am not going to
wear it."
c. "I can take this thing off whenever I get tired of it."
d. "I'll look forward to taking this thing off to take a shower every day."
Answer:
"I'll look forward to taking this thing off to take a shower every day."
,Question:
Which treatments would the nurse recommend for this client with moderate
scoliosis? Select if the nurse would recommend or not recommend the
treatment.
a. Spinal fusion
b. Counseling
c. Physical therapy
d. Observation
e. Brace
f. Pain medication
g. Muscle relaxant
Answer:
Recommended
Counseling, physical therapy, a brace, pain medication, and muscle relaxants
Not Recommended
Observation, Spinal fusion
Question:
Prioritize the nursing actions based on assessment findings. Which nursing
action would the nurse prioritize first when assessing the client after being
fitted for a back brace? Select which action the nurse will perform right away
and which would not be priority actions.
,a. Psych consultation for expressed sadness about the diagnosis
b. Examination for reported shortness of breath
c. Eye examination for reddened eyes
Answer:
Priority Action
Examination for reported shortness of breath
Non-priority Action
Psych consultation for expressed sadness about the diagnosis
Eye examination for reddened eyes
Question:
The nurse is providing education about scoliosis to the client and parents.
Which statements about scoliosis by the client and family indicate
understanding? Select all that apply.
a. Scoliosis appears in girls more than in boys.
b. Muscle spasms may occur from immobility with brace wearing.
c. In most cases of scoliosis, healthcare providers know the cause.
d. A risk factor for scoliosis is inactivity.
e. Muscle spasms are common in scoliosis.
f. Scoliosis commonly appears after puberty.
Answer:
Scoliosis appears in girls more than in boys.
Muscle spasms may occur from immobility with brace wearing.
, Muscle spasms are common in scoliosis.
Question:
Based on knowledge of scoliosis and developmental stages, how should the
nurse explain scoliosis to an 11-year-old client?
a. "The spine is supposed to be straight and yours is not. It is the wrong shape
so you may have to wear a brace or have surgery to fix it."
b. "Everyone's spine has natural curves. Some children have spines that may
curve from side to side. This is called scoliosis."
c. "Your back has bone that holds your body up. These bones are not in the
correct spot so we need to fix that."
d. "Scoliosis is a three-dimensional abnormal deviation in the axis of the
spine. It is idiopathic in nature."
Answer:
"Everyone's spine has natural curves. Some children have spines that may
curve from side to side. This is called scoliosis."
Question:
Which nursing actions demonstrate a potential cause of failure to rescue?
Select all that apply.
a. Administer STAT medication 2 hours after it was ordered.
b. Review the client's current laboratory results before administering
medication.
