Unit 6 chapter 44

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Total joint replacement another name for it

Arthroplasty

Prosthetic joints can get dislocated if they are not maintained in proper alignment. After hip replacement surgery, the affected leg must be kept in what kind of position

Abduction

How to measure bone mass

Absorbtiometry

Joint immobility another name

Ankylosis

Loss of joint mobility term

Ankylosis

A patient has had knee replacement surgery. What are interventions that reduce the risk of dvt

Antiembolism stockings Pneumatic compression devices Anticoagulants Exercises that flex and extend the toes, feet, and ankles hourly

What kind of drugs are given to patients with joint replacements at risk for infection

Antimicrobials

Nurse is caring for 75 yr old female with poor hip mobility. The nurse plans to promote independence and safety for this patient when she goes home. What should the nurse include in the discharge teaching

Bathroom grab bars Shower seat Raised toilet seat

When a patient complains of oral and genital ulcers and large joint arthritis, what disease is expected

Behcet syndrome

What is the joint commonly affected by gout

Big toe

When a patient is taking nsaids for ra, the nurse is monitoring the pt for

Bruising

Inflammation of sacs at joints that are treated with lidocaine injections for temporary relief

Bursitis

Compression of the median nerve in the wrist, causing pain and tenderness

Carpal tunnel syndrome

Nurse taking care of 80 yr old patient with ra. Pt is showing signs of salicylate toxicity. A symptom for which the nurse is monitoring in this pt is

Confusion

The nurse is taking care of a patient with gout who has come to the community clinic. The nurse recognizes that an important teaching moment for patients taking anti gout meds is to

Increase fluid intake

A common problem in patients with oa related to pain and limited rom

Mobility

Excessive rate of uric acid production or decreased uric acid excretion by the kidneys

Osteoarthritis

Most common form of arthritis. Also called degenerative joint disease. Joint cartilage is broken down. Can be primary or secondary. Mainly affects hands, hips, and knees

Osteoarthritis

What factor promotes bone formation and improves strength, balance, and reaction time

Regular exercise

A patient that was recently treated for chlamydia trachomatis currently has arthritis, urethritis, and conjunctivitis. What connective tissue disease is suspected

Reiter syndrome

inflammation of blood vessels

vasculitis

Main indicator for arthroplasty

Intractable pain of joints

Patients with gout may have altered urinary elimination related to

Kidney stones

A pt with uncontrolled pain does not want to participate in rehab after total joint replacement surgery. What intervention may help promote participation

Give analgesics 30mins to 1 hour before exercises

Deposit of sodium urate crystals under the skin

Tophi

Surgery of choice for oa

Total joint replacement

A nursing intervention related to the patients potential for infection is that the nurse will

Use strict sterile technique for dressing changes

If the nurse suspects that a dressing is too tight and is causing nerve damage, the nurse monitors sensations proximal or distal to the joint

Distal

After joint replacement, the patient often has inadequate circulation and is at the risk for

Hemorrhage

Common fracture sites due to osteoporosis

Hip Wrist Vertebrae

Systemic disease characterized by depositing urate crystals in joints and other body tissues

Dermatomyositis

To prevent kidney stones in patients with gout, patients are advised to

Drink at least 8 glasses of fluid daily

You don't want to put pillows or pads under the legs of patients with joint replacements because of the risk of

Dvt

A pt that had hip surgery is showing signs of cerebral blood occlusion, headache, confusion, and loss of consciousness. What will the nurse monitor the pt for

Fat embolus

What are symptoms of ra

Fatigue Morning stiffness lasting more than 1 hour Muscle aches

When someone has polymyalgia rheumatica, what type of drugs are usually prescribed

Corticosteroids

Common pt problems with gout

Pain related to joint inflammation Impaired fluid balance related to urate kidney stones

How should the nurse document the manifestation of pressure caused by edema or constrictive dressings following joint replacement surgery that is causing nerve damage

Parethesia

Patient has had a total joint replacement What patient problem is related to improper alignment, dislocated prosthesis, and weakness

Potential for injury

When mobility is severely impaired following hip replacement surgery, what are some potential complications

Pulmonary/circulatory complications Urinary retention Constipation Skin breakdown

What substance is not recommended in the pt diet for gout

Purine

If a pt asks if there is a cure for rheumatoid arthritis, what will the nurse say

RA is a chronic disease, but it can be kept controlled with drugs and therapy

When synovium thickens and fluid accumulates in joint spaces what is it called. Morning stiffness lasting more than 1 hour a common symptom. Chronic, progressive inflammatory disease

Rheumatoid arthritis

Subcutaneous nodules over bony prominences

Rheumatoid nodule

Patient with gout asks the nurse whether there are any food restrictions. What kinda food should the pt avoid

Sardines

Disease characterized by dryness of mouth, eyes, and vagina

Sjogren syndrome

A measure to control morning pain and stiffness in patients with ra is to

Take a warm shower


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