Unit 6 chapter 44
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
