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53 Cards in this Set
- Front
- Back
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Gout:
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- colchicines
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Osteoporosis
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estrogen replacement; calcium
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Systemic lupus erythematosis
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cortisone
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Degenerative joint disease
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nonsteroidal anti-inflammatory drugs
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Rheumatoid arthritis
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Rheumatrex
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A client has fallen and a wrist fracture is suspected. While the client awaits an x-ray, which nursing measure is most helpful for relieving the wrist swelling:
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apply ice to wrist
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A physician tells a client he is going to correct a shoulder dislocation by manipulation. When a nursing assistant asks the nurse what is meant by the term “manipulation,” the best explanation is that this procedure involves
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- repositioning the bone ends by pulling on them with his hands
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Which of the following signs may indicate that an individual has sustained a hip fracture
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external rotation of the leg
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Treatment of a case of acute bursitis involves
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rest of the affected extremity
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Which one of the following may be beneficial for relieving the symptoms associated with carpal tunnel syndrome:
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- wearing a hand splint
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Which of the following would be most appropriate for a client with hallux valgus
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wear well fitting shoes
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A nurse would be most correct in explaining to a client with a total knee replacement that the primary use for a total knee replacement that the primary use for a continuous passive motion (CPM) device is to:
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- promote healing and increase flexibility
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When assigned to a client with skeletal leg traction, which intervention should the nurse expect to add to the plan of care
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- cleanse the pin sites daily
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After repositioning a client in traction, the patient complains of some pain. Which of the following would be the nurse’s priority
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perform a neurovascular check
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Which laboratory value would the nurse expect to see in a client who has gout:
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increased uric acid
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Which of the following nursing interventions would be appropriate for a client with scleroderma
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encourage the client to join a support group
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A patient experiencing low back pain is scheduled for an MRI. Nursing care before the test would include instructing the client that:
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it is noisy and to remove all metallic objects
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A patient fell and injured his wrist. He is told that the physician will need to do a closed reduction to reduce the fracture. Which statement demonstrates that the patient has an accurate understanding of the procedure
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“the bone ends will be manipulated manually into place
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A client is complaining of increase pain on the casted arm. The cast has been on for 2 weeks. The client also has a temperature of 100 F. What nursing action would be most appropriate:
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sniff the cast for foul odor
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During assessment of a patient’s traction device, which of the following would require immediate nursing intervention:
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the footpiece is touching pulleys at the end of the bed
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To prevent renal complications in a client with gout, the nurse instructs the client to
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drink at least 12 glasses of fluid a day
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When giving a gold salt injection, the nurse would
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- give the injection deep IM using Z-track technique
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Which assessment finding is most important in determining nursing care for a client with rheumatoid arthritis:
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client has disheveled appearance
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After learning that the client is uninsured and cannot afford to purchase a commercial canvas sling, the nurse teaches a family member how to apply a triangular sling made from muslin. Which statement made by the family member indicates the need for further teaching
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“The knot should be tied at the back of the neck”
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The nurse examines a female client who slipped and fell while climbing stairs and now has ankle swelling and pain on movement. The nurse reports to the physician that the client’s ankle is ecchymotic. When the client asks what this means, which response by the nurse accurately describes the ankle’s appearance
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bruised
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While the client is waiting for her ankle to be x-rayed, which nursing measure is most helpful for relieving the soft tissue swelling:
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apply ice to the ankle
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An 80yr. old woman who sustained a fall at a long term care facility is suspected of having a fractured right hip. Which finding would the nurse expect to document while assessing a client with an intertrochanteric fracture of the hip
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external rotation of the leg
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Which risk factor found in the client’s medical record is most significant for sustaining a hip fracture
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the client is postmenopausal
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After surgery, the client is instructed to wear knee high antiembolism stockings. Which statement provides the best explanation about the preventative nature of antiembolism stockings
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antiembolism stockings prevent blood from pooling in the legs
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While waiting for his cast to dry, the client asks the nurse about the differences between plaster casts and those made of synthetic materials such as fiberglass. Which statement by the nurse about fiberglass casts is most accurate
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fiberglass casts are lightweight
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After the client undergoes a total hip replacement, how should the nurse position the affected hip
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- abduct the hip
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The physician diagnoses rheumatoid arthritis and prescribes a total of 5g of aspirin per day. If each tablet contains 5 grains, how many tablets should the nurse make sure are stocked in the distributing system for the client in each 24 hour period:
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15
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Which laboratory test, if elevated, is the best diagnostic indicator of rheumatoid arthritis
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Erythrocyte sedimentation rate (ESR)
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____ occur when the articular surfaces of a joint are no longer in contact.
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dislocations
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____ is a condition in which a structure such as a tendon or nerve is confined within a space.
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compartment syndrome, constricted
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Traction is used to relieve _____, align bones, and maintain _____.
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1. muscle spasm
2. immobilization |
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In a _____ bone is restored to its normal position by external manipulation.
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closed reduction
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A _____ is a rigid device that immobilizes an injured structure while it heals.
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cast
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When a client has a hip fracture, there is _____ and ______ of the leg.
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1. shortening
2. external rotation |
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_______, also referred to as osteoarthritis, is the most common form of arthritis.
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Degenerative joint disease
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A client with a total hip repalcement needs to have legs ______ and extended.
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abducted
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Gout is characterized by ____.
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hyperuricemia
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Lyme disease is prevalent during warmer months, when _____ are abdundant.
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ticks
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____ is pain, pressure, or itching sensations that occur in the area of the amputation.
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Phantom limb pain
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A ____ may be needed to relieve internal pressure for a patient with compartment syndrome.
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fasciotomy
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An artificial device that replaces part or all of a missing extremity is a ______.
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prosthesis
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_____ results from pressure on the spinal cord.
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Intervertebral disk disease
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Osteoporosis is a condition which bone mass ____.
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decreases
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Most types of arthritis are more common in _____.
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women
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______ is a condition of an immovable joint.
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Ankylosis
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People with gout may be placed on a diet low in _____.
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purines
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The two types of bone tumors are ______ and _______.
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1. primary
2. metastatic |
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A characteristic sign and systemic lupus erythematosus is a ________; however, a rash may appear over other body parts as well.
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butterfly rash
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