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13 Cards in this Set
- Front
- Back
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Differentiate between rheumatoid arthritis and degenerative joint disease in terms of joint involvement.
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Rheumatoid arthritis occurs bilaterally. Degenerative joint disease occurs asymmetrically.
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Identify the categories of drugs commonly used to treat arthritis.
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NSAIDs (nonsteroidal antiinflammatory drugs) of which saliclylates are the cornerstone of treatment, and corticosteroids (used when arthritic symptoms are severe)
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Identify pain relief interventions for clients with arthritis.
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Warm, moist heat (compress, baths, showers); diversionary activities (imaging, distraction, self-hypnosis, biofeedback); and medications.
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What measures should the nurse encourage female clients to take to prevent osteoporosis.
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Possible estrogen replacement after menopause; high-calcium and vitamin D intake beginning in earl adulthood; calcium supplements.
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What are the common side effects of salicylates?
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GI irritation, tinnitus, thrombocytopenia, mild liver enzyme elevation.
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What is the priority nursing intervention used with clients taking NSAIDS?
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Administer or teach client to take drugs with food or milk.
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List three of the most common joints that are replaced.
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Hip, knee, finger
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Describe postoperative residual limb care for the first 48 hours. (After amputation)
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Elevate residual limb for the first 24 hours. Do not elevate residual limb after 48 hours. Keep residual limb in extended position and turn client to prone position three times a day to prevent flexion contracture.
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Describe nursing care for the client who is experiencing phantom pain after amputation.
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Be aware that phantom pain is real and will eventually disappear. Administer pain medication; phantom pain responds t medication.
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A nurse discovers that a client who is in traction for a long bone fracture has a slight fever, is short of breath, and is restless. What does the client most likely have?
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A fat embolism, which is characterized by hypoxemia, respiratory distress, irritability, restlessness, fever, and petechiae.
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What are the immediate nursing actions if fat embolization is suspected ina client with a fracture or otherorthopedic conditions?
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Notify physician stat, draw blood gases, administer oxygen according to blood gas results, assist with endotracheal intubation and treatment of respiratory failure.
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List three problems associated with immobility.
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Venous thrombosis, urinary calculi, skin integrity problems
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List three nursing interventions for the prevention of thromboembolism in immobilized clients with musculoskeletal.
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Passive range of motion exericses, elastic stockings, and elevation of foot of bed 25 degree to increase venous return.
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