chapter 32 part 7

Question 1

what is the common problem w/ arthritis that requires the pt to rest

Answer 1

fatigue

Question 2

during acute phase the pt should

Answer 2

balance rest w/ exercise

Question 3

how many time should exercise be done

Answer 3

3 to 10 times for each joint

w/ the lower number used on days when pain or fatigue increased

Question 4

heat is better

Answer 4

for subacute or chronic joint inflammation

Question 5

cold is more effective

Answer 5

in the acute phase when joint are to hot red obviously inflamed

Question 6

for dry heat heat type of lamp is convenient

Answer 6

therapeutic infrared lamp and is inexpensive for home use

Question 7

for treatment of the hand what type of bath is effective

Answer 7

paraffin’s bath

Question 8

in a hot tub what temp should you not exceed

Answer 8

102

Question 9

whirlpool bath promotes e

Answer 9

relaxation and motion w/ minimal pain

Question 10

why should you not emerge a pt whole body in warm water

Answer 10

because it can cause physiologic changes in respiration and pulse rate

Question 11

what type of support should a pt w/ RA have

Answer 11

evaluate for coping

the pt should have support group

encourage verbalization

express appearance

Question 12

arthritis of a joint caused by high serum levels of uric acid

Answer 12

grout

Question 13

where do Uric acid crystal come from

Answer 13

the body fluid and settle in joint and connective tissue

Question 14

gout affect more

men or women

and what population is it common among

Answer 14

men and generally occurs during middle age

population that consume high-protein dt

Question 15

what are possible factors of gout

Answer 15

genetic increased in purine metabolism leading to overproduction or retention of uric acid

consumption of a high-purine dt

Question 16

when genetic increased in purine metabolism it can lead to

Answer 16

leads to overproduction or retention of uric acid

Question 17

excessive alcohol consumption can cause

Answer 17

increase production of kept acid that inhibit uric acid= hyperuricemia

Question 18

what can cause kidney stone

Answer 18

when deposit of crate crystal occurs in the joint and subcutaneous tissues

Question 19

where is the most common site where grout occur

Answer 19

big toes

Question 20

Diuretic therapy may cause

Answer 20

secondary gout from fluid loss that increase the serum uric acid level in the body

Question 21

what can cause secondary gout

Answer 21

diuretic therapy
and
certain drug that interfere w/ uric acid

Question 22

is caused by calcium pyrophosphate crystal

and what is it also called

Answer 22

pseudogout

calcium pyrophosphate disease

Question 23

what are some s/s of gout

Answer 23

elevated serum uric acid

tight reddened skin over an inflamed

edematous joint

elevated temperature

extreme pain in the joint

Question 24

how is gout DX

what is needed to confirm the DX

Answer 24

history and physical examination

arthrocentesis

Question 25

why is it important to rule out septic arthritis

Answer 25

because it can cause joint destruction within 24 hours w/out treatment

Question 26

what are not helpful for DX in early stage of the gout

Answer 26

imaging studies

Question 27

renal function should be done

Answer 27

prior to initiating drug therapy

Question 28

treatment of during acute attack consist of administration of

Answer 28

NSAIDs for 2 to 5 days

Question 29

Colchicine is given orally may bring what

Answer 29

dramatic pain relief w/in 24 to 48 hours

Question 30

what are some other medication given for gout

Answer 30

allopurinol,

probenecid (Benemid)

Febuxostat (Uloric)

lesinurad (Zurampic)

Question 31

when is an IV infusion Pegloticase given

Answer 31

a pt who do not respond to other therapies

Question 32

what are some nursing management for a pt w/ gout

Answer 32

teaching the pt about their medication and s/s

dt management- wt control

restriction of high-purine food and alcohol

fluid I&O 2000 to 3000 ml

Question 33

what are some food that should be avoid if the pt has gout

Answer 33

anchovies

sardines

sweetbread

liver

bacon

Question 34

what should you remind a pt taking allopurinol

Answer 34

do a liver test periodic