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NRTC med/surg ch. 63
| Question | Answer |
|---|---|
| Chronic autoimmune disease causing inflammation of a joint joint pain is bilateral and symmetrical | Rheumatoid arthritis |
| What age group is rheumatoid arthritis usually seen in | Juveniles |
| Rheumatoid arthritis pain is usually worse during what time of day | Morning |
| Patient education using ibuprofen for rheumatoid arthritis | Take with food monitor for GI upset and upper abdominal pain |
| Patient education for dmards methotrexate for a patient with rheumatoid arthritis | Monitor for infection no live vaccine may cause vision changes |
| Rheumatoid arthritis patient teaching using glucocorticoids prednisone | Take calcium and Vitamin D supplements taper dose if long-term monitor blood glucose and body weight |
| Fingers bent it joints with rheumatoid arthritis | Swan neck |
| Joints Bend towards the ulnar | Ulnar deviation |
| Joint disease caused by repeated trauma joint changes wear and tear commonly seen in weight bearing joints and is unilateral | Osteoarthritis djd |
| Nursing management for osteoarthritis | Apply heat maintain weight start Progressive swimming program rest between activities |
| Bony enlargement of distal interphalangeal joints | Heberden's nodes |
| Bony enlargement of proximal interphalangeal joints | Bouchard's nodes |
| Cartilage discs between the mandible and temporal bone becomes dislodge from the temporal fossa usually unilateral | Temporomandibular joint disorder TMJ |
| Patient education with TMJ | Go to dentist and wear a mouthguard |
| Term for teeth grinding | Bruxism |
| Painful metabolic disorder inflammatory reaction to joints due to hyperuricemia typically affects men more than women | Gout |
| Term for urate crystals | Tophi |
| Diagnostic test for gout | 24-hour urine test |
| What food should a patient with gout avoid | Purine dense food red meats shellfish organ Meats |
| Where does gout usually begin | Small joints usually starting with the big toe |
| Medication used to treat gout | Allopurinol and NSAIDs |
| Idiopathic with central pain syndrome Theory being CNS increase sensitivity to pain signals leading to decreased pain threshold | Fibromyalgia |
| Fibromyalgia typically affects who | Middle aged women |
| Medical management of fibromyalgia | Duloxetine and pregabalin |
| Skeletal muscle relaxant | Cyclobenzaprine |
| Drug classification of pregabalin used to treat fibromyalgia | Antiepileptic |
| Tricyclic antidepressant used to treat fibromyalgia | Amitriptyline |
| What is the usual cause for bursitis | Staph infection or strep with an elevated white blood cell count |
| Autoimmune disorder with unknown triggering mechanism cause an overproduction of antibodies and chronic information destruction of diffuse connective tissue affects multiple body system and is called the Great Intimidator | Systemic lupus erythematosus |
| Teaching for patient with SLE | Wear sunscreen with a moisturizer and a hat monitor for new signs and symptoms watch for weight gain |
| Decreased blood flow to the finger tissues causing them to be cold and white | Raynaud's phenomenon |
| Teaching for patient with Raynaud's phenomenon | Dangle fingers and swing hands like you're skiing to increase blood flow |
| Osteomyelitis is typically caused by | Staph infection |
| Fractures brakes and sterile fields during surgery and poor pin care can lead to | acute osteomyelitis |
| Persistent draining sinus through skin from the bone that may cause sepsis | Chronic osteomyelitis |
| Antibiotic given to a patient with osteomyelitis | Vancomycin |
| Text act as vectors to transmit bacteria causing | Lyme disease |
| How long does it take me to be attached to the host in order to transmit Lyme disease | 36 hours |
| Most common sign for Lyme disease | Bullseye rash |
| How long does it take to cause multi-organ damage after Contracting Lyme disease | 4 weeks or more |
| Classification of meds you expect to see with a client who has SLE | Antimalarial |
| Type of fracture where the bone is pushed into another bone | Impact fracture |
| Loss of bone mass or density often seen with White women postmenopausal | Osteoporosis |
| Drug classification of Premarin has a high risk of breast cancer | Hormone replacement therapy |
| The classification of alendronate you need to sit up 30 minutes after taking this | Bisphosphonates |
| Drug classification for calcium citrate and calcitonin need to take and very doses | Calcium supplements |
| Nursing management for a patient with osteoporosis | Stretch and increase core strength decrease caffeine sugar and sodium |
| Bone softening could possibly be metabolic insufficient calcium vitamin D absorption with phosphate deficiency | Osteomalacia |
| Name of a seizure Med that may cause osteomalacia | Phenobarbital |
| Patients with osteomalacia often have bowed legs and a higher risk of this type of fracture | Pathological |
| Idiopathic chronic disorder of abnormal bone remodeling osteoclast osteoblast imbalance | Paget's disease |
| Assessment for Paget disease includes enlarged skull kyphosis lumpy weak bones the number one nursing management is | Client safety to prevent injury and falls |
| Deformity of the great toe at the metatarsal pharyngeal joint | Bunion AKA hallux valgus |
| Flexion deformity of the proximal phalangeal joint of toes | Hammer toe |
| Flexion deformity of the distal phalangeal joint of toes | Mallet toes |
| Overground cluster of normal bone cells | Benign bone tumor |
| Radiation toxic chemical exposure or hereditary can cause this type of bone tumor | Malignant bone tumor |
| Malignant bone tumors usually are found in the knee and the proximal end of the humerus but could spread to the | Lungs |
| Patient with malignant bone tumors are immunocompromised what is the number one nursing priority | Infection prevention |
Created by:
LBerkey
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