A school health nurse is screening school-age students for ...

[cartlidgeashley]

A school health nurse is screening school-age students for scoliosis. Which assessment findings indicate the need for further evaluation for scoliosis?
 
  1. Uneven shoulders and hips
  2. A one-sided rib hump
  3. Prominent scapula
  4. Lordosis
  5. Pain

Question 2

The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which statement will the nurse include in the teaching session?
 
  1. Apply lotion or powder to minimize skin irritation.
  2. Put clothing over the harness for maximum effectiveness of the device.
  3. Check at least two or three times a day for red areas under the straps.
  4. Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.

[bob]

Answer to Question 1

Correct Answer: 1,2,3
Rationale: The classic signs of scoliosis include uneven shoulders and hips, a one-sided rib hump, and prominent scapula. Lordosis and pain are not present with scoliosis.

Answer to Question 2

Correct Answer: 3
Rationale: The brace should be checked two or three times for red areas under the straps. Lotion or powder can contribute to skin breakdown. A light layer of clothing should be under the brace, not over. The diaper should also be under the brace.