A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is D
Explanation
Choice A rationale
Discouraging the client from ambulating is not necessary. In fact, early ambulation is often encouraged to promote circulation and prevent complications, depending on the fracture
type and treatment plan.
Choice B rationale
Keeping the client's leg in a dependent position is not recommended as it can increase swelling and pain. Elevating the leg is typically advised to reduce swelling.
Choice C rationale
Using a hair dryer on a hot setting to dry the cast is unsafe as it can cause burns and damage the cast. It's better to allow the cast to dry naturally and follow the healthcare provider's
instructions.
Choice D rationale
Performing a neurovascular check of the lower extremities is crucial to assess circulation, sensation, and movement. This helps in identifying any complications such as impaired
blood flow or nerve damage.
Correct Answer is A
Explanation
Choice A rationale
Peer pressure is a significant concern during adolescence as individuals seek acceptance and validation from their peers, often engaging in behaviors they might otherwise avoid.
Choice B rationale
Inclusivity refers to ensuring everyone is included and feels welcomed, but it's not a common concern that would make someone engage in risky behavior like vaping.
Choice C rationale
Cold stress is more related to the physical response to cold environments rather than social situations. Adolescents typically experience cold stress due to environmental conditions, not peer interactions.
Choice D rationale
Role confusion, according to Erikson's stages of development, involves uncertainty about one's role and identity, but it doesn't directly explain engaging in risky behaviors due to peer influence.