Adult III Ch. 60, 61, 62, 63

The nurse is caring for a client who had a surgical amputation of the left leg related to complication from diabetes. The client asks the nurse, "If my leg is really gone, then why am I having such bad pain?" What is the BEST response by the nurse?

"It is called phantom pain and may come and go

Degenerative Joint Disease AKA Osteoarthritis

"Wear & tear", repeated trauma, Heberden's nodes, Bouchard's nodes, NSAIDs, physical therapy

Paget's Disease

Abnormal bone remodeling, skeletal deformity, x-ray, bone scan, surgery, safety

The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacological therapy does the nurse anticipate administering to this client to prevent complications related to the surgery?

Anticoagulation therapy

Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?

Any chronic disorder or recent injury

A client is scheduled to have an x-ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. The nurse understands that the liens will be undergoing which of the following?

Arthrogram

Rheumatoid Arthritis

Autoimmune disorder, chronic inflammation of the joints, women, ERS- erythrocyte sedimentation rate, NSAIDs, steroids, SWAN NECK FINGERS

Systemic Lupus Erythematosus

Autoimmune, great imitator, butterfly rash, kidney issues, Selena Gomez, stress is a big causer

A client is scheduled for a total left knee arthroplasty in 2 weeks. When would the BEST time for postoperative nursing management begin?

Before surgery

Osteomalacia

Bone softening, kids=rickets, Vitamin D, phosphate, calcium, safety

Disorder of the Feet

Bunions (Hallux Valgus): deformity of great toe laterally, bunionectomy Hammer toe: deformity of distal interphalangeal joints, PIP JOINT, exercises, pads, surgery, properly fitting toes

Ankylosing Spondylitis

Chronic connective tissue disorder, unknown, strong familial tendency, spine and hips become immobile, NSAIDs, Brace

A client was playing softball and dislocated four of his fingers when diving for a ball. The physician manipulated the fingers into alignment and applied a splint to maintain alignment. What type of procedure does the nurse document this as?

Closed reduction

A client with a fracture develops compartment syndrome that requires surgical intervention. The nurse would MOST likely prepare the client for which of the following?

Fasciotomy

When performing pin care, which of the following would be MOST appropriate? SATA

Gently remove crusts around pin sites, use an applicator only once, do not apply any ointments to pins unless ordered

Osteomyelitis

Infection of bone, risk of sepsis, staphylococcus aureus/pseudomonas, bone scans, antibiotics, amputation

Bursitis

Inflamed bursa, repetitive motion/positioning, Trauma, RA, Infection, Distress, NSAIDS

Temporomandibular Disorder (TMJ)

Jaw/ surrounding joints, grinding, dislocation of jaw, trauma, NSAIDs

Osteoporosis

Loss of bone mass, elderly post menopausal women, calcium, vitamin D, exercise, prevent injury

A client is scheduled to undergo an electromyography. The nurse understands that this test is performed to evaluate which of the following?

Muscle weakness

A client with metastatic bone cancer sustained a left hip fracture without injury. What type of fracture does that nurse understand occurs without trauma or fall?

Pathological Fracture

When assisting a client following an arthroscopy of the knee to a comfortable position, which standard is maintained?

Place the client's joint in a neutral position

A client sustained a sprained ankle while skiing, and the physician ordered PRICE. What will the nurse inform the client to do related to the physician's order upon discharge?

Protection, rest, ice, compression, elevation

The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician?

Pulselessness

A client arriving at the emergency department is diagnosed with a dislocation. Assessment would MOST likely reveal which of the following? SATA

Swelling, Pain, Complaint of a popping sound

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?

Tendon

Lyme Disease

Ticks attached 36-48 hours, bulls eye rash, antibiotics

Gout

Unilateral, Uric acid, purine foods (organ meats) and alcohol

Fibromyalgia

Wide spread pain all over the body, physical stress, middle-aged women, NSAIDs