The nurse is caring for a child diagnosed with scoliosis. What actions by the child would indicate a need for intervention by the nurse? Select all that apply.

A. This statement does not indicate a need for intervention. Physical therapy is often part of the management plan for scoliosis to help improve posture, muscle strength, and flexibility. The child’s statement reflects appropriate understanding and adherence to treatment. B. This does not indicate a need for intervention. Wearing the brace over a snug, seamless t-shirt is recommended to protect the skin, reduce friction, and prevent skin breakdown. This is an appropriate and correct practice. C. This indicates a need for intervention. Braces for scoliosis are typically prescribed to be worn for a specific number of hours per day, often 16–23 hours, and this usually includes nighttime wear. Removing the brace at bedtime reduces its effectiveness in preventing progression of spinal curvature. The nurse should reinforce the importance of wearing the brace as prescribed. D. This indicates a need for intervention. Loosening the straps decreases the corrective pressure of the brace, making it ineffective. The brace must fit snugly to properly support spinal alignment. The nurse should educate the child and family on correct brace application and the importance of keeping the straps properly secured. E. This does not indicate a need for intervention. It is often appropriate and encouraged for children to remove the brace during certain physical activities or sports, such as soccer, depending on provider recommendations. This helps maintain normal activity levels and quality of life while still adhering to treatment overall. F. This does not indicate a need for intervention. Feeling “taller” with the brace on suggests improved posture and spinal alignment, which is an expected and positive effect of proper brace use.