Term
| What disease is characterized by a chronic inflammation of synovial membrane in diarthrodial joints? |
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Definition
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Term
| fatigue, morning stiffness, muscle weakness, joint tenderness, edema of joints, generalized aching, decrease appetite and ROM, fever, symmetrical joint involvement, malaise, nodules. (the beginning s/s before advanced) |
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Definition
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Term
| Synovial fluid is cloudy, yellow, not viscous. Indication? |
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Definition
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Term
| The difference between RA and OA. |
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Definition
RA is an inflammatory disease of autoimmune origin.
OA is a degenerative disease of cartilage breakdown. |
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Term
| What can be done to slow down the damage of RA? |
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Definition
Exercise:
- AM activity helps
- rest periods
- weight control
- 8-10 hrs sleep + daily naps |
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Term
|
Definition
| inflammation of synovial joint |
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Term
| inflammation of synovial joint |
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Definition
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Term
| Chronic, progressive disorder of sacroiliac and hip joints and soft tissue |
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Definition
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Term
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Definition
| Chronic, progressive disorder of sacroiliac and hip joints and soft tissue |
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Term
| Non systemic, non-inflammatory disease that progress causing bones to degenerate. It is a degenerative joint disease. |
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Definition
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Term
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Definition
| Non systemic, non-inflammatory disease that progress causing bones to degenerate. It is a degenerative joint disease. |
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Term
| common surgery for osteoarthritis |
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Definition
| arthroplasty of hip and knee |
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Term
| arthroplasty of hip and knee |
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Definition
| common surgery for osteoarthritis |
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Term
| A common nursing intervention in the treatment of osteoarthritis |
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Definition
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Term
| sides of distal joints of fingers |
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Definition
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Term
|
Definition
| sides of distal joints of fingers |
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Term
|
Definition
| appear on proximal joints of fingers—hard, bony cartilaginous enlargements |
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Term
| appear on proximal joints of fingers—hard, bony cartilaginous enlargements |
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Definition
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Term
| advise for RA and OA patients on NSAIDS |
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Definition
- Take with food to decrease GI stress
- Herbs may interfere with NSAID effectiveness |
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Term
| Exercise may help relieve pain from _____, but not from _____. |
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Definition
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Term
| What is the effect of exercise in RA treatment? |
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Definition
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Term
| What is the effect of exercise in OA treatment? |
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Definition
| prevention of muscle and bone stiffness. |
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Term
| What may be needed prior to exercise for OA patients? |
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Definition
| anti-inflammatory and pain meds |
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Term
| Primary place of inflammation from gout |
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Definition
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Term
|
Definition
| ineffective metabolism of purines |
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Term
| ineffective metabolism of purines |
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Definition
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Term
| Edema and inflammation, especially at night. |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
|
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Term
| primary sources of purines |
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Definition
- organ meats
- alcohol (especially wine)
- sardines
- mackerel
- scallops. |
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Term
| Reduction in the mass of bone per unit of volume |
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Definition
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Term
|
Definition
| Reduction in the mass of bone per unit of volume |
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Term
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Definition
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Term
| Risk factors for osteoporosis |
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Definition
- Age
- calcium deficiency
- gender (female)
- sedentary lifestyle
- tobacco
- alcohol |
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Term
| basic treatment of osteoporosis |
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Definition
- calcium supplements
- estrogen replacement
- exercise |
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Term
| Why are small, skinny Asian women at high risk for osteoporosis? |
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Definition
| tendency to be lactose intolerant |
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Term
| complication of osteoporosis |
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Definition
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Term
| Common OTC antacid taken during pregnancy that is also high in calcium |
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Definition
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Term
| Chronic syndrome (not a disease) presented by musculoskeletal pain in muscles, bones, joints |
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Definition
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Term
|
Definition
| Chronic syndrome (not a disease) presented by musculoskeletal pain in muscles, bones, joints |
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Term
|
Definition
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Term
| Permanent damage caused by fibromyalgia |
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Definition
|
|
Term
- tension headaches
- irritable bowel syndrome
- memory and cognitive difficulties
- reduced exercise tolerance |
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Definition
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|
Term
|
Definition
- tension headaches
- irritable bowel syndrome
- memory and cognitive difficulties
- reduced exercise tolerance |
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Term
| Intervention for fibromyalgia |
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Definition
| exercise - helps relieve muscle pain |
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Term
| common med used for treatment of fibromyalgia |
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Definition
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Term
| Intervertebral disk herniation |
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Definition
| a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out. |
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Term
| Associated with trauma and improper body alignment |
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Definition
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|
Term
| a common effect of a herniated disk |
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Definition
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Term
| Which lab test is an indicator of a bone tumor? |
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Definition
| Alkaline phosphatase - high |
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Term
|
Definition
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Term
|
Definition
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Term
| Local or generalized infection of bone and bone marrow |
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Definition
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Term
|
Definition
| Local or generalized infection of bone and bone marrow |
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Term
| effect of not properly positioning a limb affected by osteomyelitis |
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Definition
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Term
|
Definition
| effect of not properly positioning a limb affected by osteomyelitis |
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Term
| clinical tests for osteomyelitis |
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Definition
- X-ray
- CBC
- blood culture
- bone scan |
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Term
| wound precautions would be in order for which bone disease? |
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Definition
|
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Term
| what type of precaution should be taught upon discharge of an osteomyelitis patient |
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Definition
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Term
| discharge interventions for osteomyelitis |
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Definition
- long-term therapy
- bed rest
- careful positioning
- wound precautions
- diet |
|
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Term
| purpose of bed rest with osteomyelitis |
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Definition
|
|
Term
| prognosis regarding osteomyelitis |
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Definition
- may become chronic
- contractured bones cannot be re-aligned
- recurrent fractures possible
- - take precautions against trauma |
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Term
|
Definition
|
|
Term
• Assessment
• Subjective
• muscle aches
• tension headaches
• PMS
• Jaw pain
• fatigue |
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Definition
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|
Term
| Objective assessment - constant need to move |
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Definition
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Term
| Objective assessment indicating fibromyalgia |
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Definition
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|
Term
| Diagnostics re fibromyalgia |
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Definition
Electrolytes, CBC, sleep study, ESR:
ALL NORMAL. |
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Term
| Most effective intervention for fibromyalgia |
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Definition
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Term
| rupture of fibrocartilage surrounding intervertebral disk |
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Definition
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Term
| Areas commonly effected by herniation |
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Definition
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Term
| headache, neck pain, rigidity |
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Definition
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Term
| nursing interventions re herniated disk surgery |
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Definition
- LOG-ROLL method turning patient
- heat or ice - may be don pre- and post-op
- diet high in fiber, calories, protein
- decrease anxiety, pain and constipation |
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Term
| removal of bony arches of vertebrae to remove compression |
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Definition
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Term
|
Definition
| removal of bony arches of vertebrae to remove compression |
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Term
| Results in arthrodesis (immobilization) of the joint |
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Definition
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Term
| post-op spinal surgery care |
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Definition
• check for drainage
• surgical aseptic dressing changes |
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Term
|
Definition
• watch for drainage, looking for CSF
• TED hose
• I/O for first 24 hrs
• Concern if no void after 8 hrs
• sitting no longer than 30 min in firm chair
• walk the first day
• may be fitted for corsett in 2-3 days
• ADLs
• no twisting
• no lifting more than 5 lbs in first 8 weeks
• No driving |
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Term
| post-laminectomy care: alert RN if following drainage found |
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Definition
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|
Term
| Post-laminectomy care: concern regarding I/O |
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Definition
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|
Term
| Post-laminectomy care: when can the patient begin walking? |
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Definition
|
|
Term
| ADL limits post laminectomy |
|
Definition
• no twisting
• no lifting more than 5 lbs in first 8 weeks
• No driving |
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|
Term
| blood tests indicating bone tumor |
|
Definition
Alkaline phosphatase: high
CBC/platelets: low
Protein: high |
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Term
| post bone tumor surgery nursing intervention |
|
Definition
• post-op neurovascular assessment (7 P's)
• education of pre- and post-op procedures
• vital signs
• dressing changes |
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Term
|
Definition
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Term
|
Definition
|
|
Term
| Clinical effect of lumbar herniation |
|
Definition
• low back pain with even the slightest movement
• psiatica usually affected, radiating along buttocks of affected side
• numbness and tingling in leg of affected side
• bowel and urine control may be affected* |
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Term
| Bones that are usually the origin of osteosarcomas |
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Definition
• distal femur
• proximal tibia
• proximal humerus |
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Term
| Objective assessment of bone tumor |
|
Definition
• pathological fracture
• edema
• discoloration of skin |
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|
Term
| more common among males 10-30 |
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Definition
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|
Term
| Bones that are usually the origin of osteocondromas |
|
Definition
• distal femur
• proximal tibia
• proximal humerus |
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|
Term
| more common among males 20-30 |
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Definition
|
|
Term
| Two important notes regarding Elavil |
|
Definition
- tricyclic: can be a cardiac risk
- takes 30 days to take effect |
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|
Term
| more common among females 20-50 |
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Definition
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|
Term
Which of the following lab results would be most important for the nurse to monitor in a patient who has just suffered from a crushing injury?
A) CK, myoglobin and K+
B) ALP and LDH
C) Ca+ and Phos.
D) AST and LDH |
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Definition
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|
Term
Which of the following would the nurse teach in a patient about the pattern of pain and stiffness of OA
A) less severe in AM and worse after activity
B) more severe in AM and less after activity
C) same at rest and during activity
D) may reoccur months later |
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Definition
| A) less severe in AM and worse after activity |
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Term
Which finding would be most significant when collecting data on a patient with MD
A) drooping eyelids
B) O-sat =85%
C) difficulty walking
D) drooling |
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Definition
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|
Term
| Which lab result would indicate treatment of RA has been effective |
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Definition
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|
Term
| Which part of the body coordinates voluntary movement |
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Definition
| Frontal lobes of the cerebral cortex |
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Term
| How long does it take for a healthy adult bone to heal |
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Definition
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|
Term
Healthy man loses finger in accident. At the scene, nurse ensures victim is in stable condition. What next?
A) Transport to hospital STAT
B) Wrap severed finger in cool, slightly moist cloth, which may be submerged in cold water until brought to hospital
C) Wrap severed finger in dry cloth in plastic bag for transport
D) disinfect and bandage wound before transport to hospital |
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Definition
| B) Wrap severed finger in cool, slightly moist cloth, which may be submerged in cold water until brought to hospital |
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|
Term
| Which hormone promotes calcium retention in bones, especially during childhood? |
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Definition
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|
Term
Which statement is correct about the postmenopausal patient and to take alendronate sodium (Fosamax) for osteoporosis?
A) take every night before bedtime
B) take in morning with water
C) no side effects
D) no calcium-related concerns |
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Definition
| B) take in morning with water |
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|
Term
| Priority post-op complication to monitor for after THR |
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Definition
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|
Term
Patient presents with pitting edema on upper arm with taut, shiny, nonwrinkled skin. What else may exist?
A) rash on bridge of nose
B) pain caused by cold
C) Pain or reddening of small joints
D) lilac-colored rash or swelling around eyes |
|
Definition
B) pain caused by cold
signs of scleroderma. |
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|
Term
Which is NOT a risk factor for primary osteoporosis?
Sedentary lifestyle
Excessive alcohol
Overweight
White or Asian
Smoking |
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Definition
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|
Term
| Which part of the musculoskeletal system is most affected by a sprain? |
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Definition
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|
Term
| Hip surgery delayed. What is likely to be ordered in the interim? |
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Definition
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|
Term
MATCH THE CARE WITH THE PROCEDURE:
1) bone/muscle biopsy
2) arthrography
3) myelogram
4) arthrocentesis
A: elevate affected limb
B: head of bed at 45 degrees
C: monitor for hemarthrosis
D: wound care |
|
Definition
biopsy - wound care
arthrography - elevate limb
Myelogram - head at 45 degrees
arthrocentesis - hemarthrosis monitoring |
|
|
Term
|
Definition
-systemic
-nodules
salicilates
gold compounds
NSAIDs
Immunosuppressants
muscle relaxants
corticosteroids
-Flxeril |
|
|
Term
|
Definition
-degenerative
-weight
-NSAIDS
-salicilates |
|
|
Term
|
Definition
-tophi
-colchicine
-zyloprim |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
-irritable bowel syndrome
-Elavil
-Klonopin
-Flexoril |
|
|
Term
|
Definition
-exercise
-NSAID
-anti-inflammatory meds
-corticosteroids |
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|
