Nursing Ii Scoliosis (Quiz 3)

Front 1

Health history w patient w scoliosis

Back 1

job, exercise, diet, health history, infection, familial or genetic abnormalities

Front 2

Achondroplasia

Back 2

caused by mutation in the fibroblast growth factor-cartilage turns to bone

Front 3

ehlers-danlos syndrome EDS

Back 3

a group of inherited disorders marked by extremely loose joints, hyperelastic skin that bruises easily, and easily damaged blood vessels

Front 4

Marfan syndrome

Back 4

disorder of connective tissue, the tissue that strengthens the body's structures.

Disorders of connective tissue affect the skeletal system, cardiovascular system, eyes, and skin
People with Marfan's tend to be unusually tall, with long limbs and long, thin fingers.
-severe cases effect valves & aorta

Front 5

Stickler syndrome

Back 5

group of hereditary conditions characterized by a distinctive facial appearance, eye abnormalities, hearing loss, and joint problems
-flattened facial appearance, severely nearsighted
-affects connective tissue-specifically collagen

Front 6

Osteoporosis

Back 6

thinning of bone tissue and loss of bone density over time

Front 7

What expected outcomes do you focus on with scoliosis?

Back 7

patient's ability to perform activities of daily living

Front 8

Functional evaluation for scoliosis

Back 8

Posture
Gait
Chest dimensions

Front 9

Posture

Back 9

-normal
-kyphosis (hunchback)
-lordosis
-scoliosis

Front 10

scoliosis

Back 10

lateral curve or deviation of the spine
-congenital

Front 11

scoliosis is Idiopathic?

Back 11

mostly occurs in girls btwn ages 10-13

Front 12

What is most common scoliosis?

Back 12

right thoracic and left lumbar

Front 13

scoliosis can cause polio

Back 13

polio-damage to the paraspinal muscles

Front 14

Nursing dx for scoliosis

Back 14

1. risk for noncompliance-exercise program r/t duration & intensity of exercise
2. Impaired physical mobility r/t brace
3. Risk for skin integrity r/t brace
4. Disturbed body image r/t deformity & brace

Front 15

Gait

Back 15

Assessed by having pt walk away for a short distance

Front 16

Chest dimensions

Back 16

Elliptical
Deformitites:
-pigeon chest
-funnel chest
-barrel chest

Front 17

Elliptical

Back 17

oval, anteroposterior diameter is half its transverse diameter

Front 18

Pigeon chest

Back 18

may be caused by rickets

Front 19

Funnel chest

Back 19

depressed sternum

Front 20

Barrel chest

Back 20

anterior/transverse ratio is 1:1--seen with kyphosis and emphysema (normal in infants)

Front 21

Normal anterior transverse ratio

Back 21

1:2 at about age 6 to adult

Front 22

Degenerative disk disease

Back 22

normal changes in your spinal discs as you age. Spinal discs are soft, compressible discs that separate the interlocking bones (vertebrae) that make up the spine. The discs act as shock absorbers for the spine, allowing it to flex, bend, and twist. Degenerative disc disease can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region

Front 23

Diagnostic tool of choice for DDD?

Back 23

MRI

Front 24

Pain in DDD

Back 24

acute pain can last up to 3 months

Front 25

how to assess someone going under a cervical diskectomy?

Back 25

onset, duration, location, diminished function, ROM, exacerbation

Front 26

Pt under going cervial diskectomy--nursing diagnoses?

Back 26

1. acute pain r/t surg procedure
2. impaired physical mob r/t post op surgical regimen
3. deficient knowledge about the post op and home care management

Front 27

Pt under going cervial diskectomy, planning and goals

Back 27

relief of pain
improved mobility
increased self care

Front 28

Pt under going cervial diskectomy--nursing interventions to relieve pain

Back 28

1. bed position (flat for 12-24 hrs)
2. administration of meds
3. position for comfort
4. reassuring pain can be relieved

Front 29

Pt under going cervial diskectomy--nursing interventions for improving mobility

Back 29

cervical collar is worn, instructed to turn the body instead of the neck

Front 30

Pt under going cervial diskectomy--nursing interventions monitor/manage potential complications

Back 30

-evaluations for bleeding/hematoma
-neuro checks (swallowing, extremity weakness, return of radicular pain), respiratory difficulty

Front 31

DDD expected outcomes

Back 31

-reported decreased pain
-demonstrates improved mobility
-demonstrates proper mechanics
-has absence of complications

Front 32

Spinal bifida

Back 32

malformation of the spinal cord and spinal canal
-defect in vertebrae through which the spinal cord can protrude

Front 33

myelodysplaisa

Back 33

bone marrow disorder

Front 34

Sb most common in what areas

Back 34

lumbar & sacral

Front 35

Sb most common developmental disorder of the CNS

Back 35

London 1697

Front 36

Sb in the US

Back 36

1/2000 births

Front 37

Cause of Sb

Back 37

unknown, has been implicated to: environmental, genetic, maternal obesity

Front 38

Sb occulta

Back 38

A bony defect in the vertebral column that causes a cleft in that column. The cleft remains covered by skin. Treatment is usually not required.

Front 39

Sb with meningocele

Back 39

is a birth defect in which the backbone and spinal canal do not close before birth. The condition is a type of spina bifida. Symptoms: A newborn may have a sac sticking out of the mid to lower back

Front 40

Sb with meningomyelocele

Back 40

Hernial protrusion of the meninges and spinal cord through a defect in the vertebral column, often spina bifida.
-Protrusion of the spinal membranes and spinal cord through a defect in the vertebral column

Front 41

Sb with myeloschisis

Back 41

a developmental anomaly characterized by a cleft spinal cord.
-a developmental defect characterized by a cleft spinal cord that results from the failure of the neural plate to fuse and form a complete neural tube

Front 42

sac like protrusion on back indicates?

Back 42

meningocele or myelomeningocele

Front 43

Sb occulta detection

Back 43

usually only detectable on xray, somtimes just meninges

Front 44

Sb and allergy

Back 44

18-40% have latex allergy
foods--bananas, kiwi, milk

Front 45

Sb nursing care mobility & comfort

Back 45

-promote mobility & emotional support
-comfort with tactile stimulation

Front 46

Sb nursing care & sac

Back 46

-cover w sterile saline dressing
-monitor for leaks

Front 47

Sb nursing care and positioning

Back 47

place pt in prone position w hips flexed and legs abducted (minimize tension on sac)
-maintain position w towel rolls between the knees

Front 48

Sb nursing care, vitals bowels

Back 48

-assess for motor deficits, bowel & bladder involvement
-assess vitals & signs of infection

Front 49

Latex allergy

Back 49

10% health care workers
50% Sb
34% children w 3 or more surgeries

Front 50

Body response to latex with allergy

Back 50

IgE mediated response after repeated exposure to latex

Front 51

Ancephalophacy (encephalophacy)

Back 51

Any disease in which the functioning of the brain is affected by some agent or condition

Front 52

pain control for encephalophacy

Back 52

NSAIDS
Corticosteroids

Front 53

NSAIDS cox1

Back 53

-decrease platelet clumping action
-causes renal irritation
-gastric erosion

Front 54

NSAIDS cox2

Back 54

-suppression of inflammation
-decrease pain
-temp

Front 55

Corticosteroids

Back 55

-decrease immune response
-monitor glucose
-binds to glucocorticoid receptors
-behavior change