Author Question: The nurse is documenting the interdisciplinary team report on an adolescent client who has a ... (Read 35 times)

RRMR · **on:** Jun 25, 2018

The nurse is documenting the interdisciplinary team report on an adolescent client who has a 35-degree Cobb angle confirmed by x-ray. Which interventions are appropriate for this client?

Select all that apply.
A) Obtaining a physical therapy consult prior to surgical intervention
B) Maintaining the existing curvature with no increase
C) Bracing for 12-23 hours per day and support group referral
D) Administering non-opioid analgesics and TLSO or Milwaukee brace
E) Instructing on exercises and appropriate support groups

Question 2

The healthcare provider prescribes sitagliptin (Januvia) for a client with type 2 diabetes mellitus. For which potential side effect should the nurse monitor in this client?

A) Elevated blood lipid levels
B) Hyperglycemia
C) Pancreatitis
D) Renal insufficiency

stanleka1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D, E

Treatment of children with a Cobb angle between 25 and 45 degrees consists of bracing for 12-23 hours per day with a TLSO or Milwaukee brace, mild pain medication, counseling or support group referral, and exercise to improve posture and maintain or increase spine flexibility. Mild scoliosis is observed every 3-6 months. Severe scoliosis requires surgical intervention and subsequent physical therapy. Calcium supplements are not indicated for scoliosis. Support groups or counseling is suggested for clients with moderate or severe scoliosis or as needed.

Answer to Question 2

Answer: C

A potential side effect of sitagliptin (Januvia) is pancreatitis, and the client must be monitored for this. Sitagliptin (Januvia) does not cause elevated blood lipids, hyperglycemia, or renal insufficiency.