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exam #3

after a bone biopsy the site should be monitored for bleeding
If a patient had a diagnostic arthroscopy and no surgical repair the nurse should? encourage the patient to exercise the leg, including straight-leg raises. the patient can resume regular activities in 24 to 48 hours.
Crepitation a granting sound as joint or bones moves
synovitis an inflammation of synovial fluid within a joint inflammation would cause a joint area to feel warm, painful, and edematous.
Rheumatoid arthritis make it difficult to perform ADL, observe the patients range of motion for performing ADL and hands movement in finger joints.
an assessment should be done to determine the cause of the pain as increased pain that is unresponsive to analgesic medication may indicate bleeding in the soft tissue.
alkaline phosphatase (ALP) an enzyme that increases when bone or liver tissue is damaged
in metabolic bone diseases and bone cancer ALP? increases to reflect osteoblast or bone- forming cell activity.
serum calcium decrease in patients with osteoporosis or in people who consume inadequate amounts of calcium in their diets.
serum calcium levels increase in patient with bone cancer.
creatine Kinase (CK) monitored for muscle disease.
articular cartilage after many years wears down and become rough, leading to pain and stiffness.
asking how the pain feels and if the pain is burning or throbbing would help identify the ? quality of pain.
asking if an event caused the pain helps? identify a triggering event.
asking if the pain moves assesses for radiation pain
asking the patient to rate the pain and the intense determines the severity using a rating scale 0-10.
when muscle tissue is damaged a number of serum enzymes are released into the bloodstream, including skeletal muscle creatine kinase. (CK-MM/ CK3)
serum calcium tends to decrease in patients with osteoporosis or in people who consume inadequate amounts of calcium in their diets.
normal serum calcium levels 8.5 to 10.5 mg/dl.
calcium levels greater than 10.5 mg/dl indicate hypercalcemia, which may be related to metastatic bone disease or extended immobilization.
Arthrocentesis involves withdrawal of synovial fluid from a joint space and used for analysis of the synovial fluid or for reduction of excess fluid.
Bone or muscle tissue can be surgically extracted for microscopic examination to confirm which disease cancer, infection(bone biopsy), inflammation, or damage (muscle biopsy).
what are two techniques used to retrieve muscle tissue? a needle (closed) biopsy or incisional (open) biopsy.
when assessing a patient with a fracture tibia and fibula the nurse should report? to the physician if the capillary refill time is greater than 3 to 5 seconds as it can indicate circulatory compromise..
The bone loss from osteoporosis can be offset by? weight- bearing physical exercise which stimulates bone matrix deposition, increasing bone density.
The nurse inspects the biopsy site for? bleeding ,swelling, and hematoma formation.
increased pain that is unresponsive to analgesic medication may indicate? bleeding in the soft tissue.
The nurse should witness signature on the surgical consent, maintain NPO status, and check the blood glucose level.
Neurovascular checks for an extremity include ? movement, sensation (numbness/tingling), presence of pulses, skin temperature, color, and capillary refill.
common age-related changes include decreased height due to smaller intervertebral spaces, joint pain and stiffness are associated with articular cartilage wear, and limb weakness because muscle strength declines with age as protein synthesis decreases.
this may be seen with Parkinson's disease small shuffling steps
scoliosis S-shaped curve is usually related.
is essential for the efficient absorption of calcium and phosphorus in the small intestine vitamins D
required for the production process of bone matrix. vitamins A and C
The patients history should include ? diet history to determine if calcium and vitamin D intake are adequate, occupation and activities including sports and other physical activities
risk factors for musculoskeletal problems and family history of musculoskeletal problems to detect? hereditary factors.
Created by: aurelia.mckinnon
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