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NUR 355 - Med Surg > Module 3 > Flashcards

Module 3 Flashcards

Ch. 11, 12, 20

1
Q

Osteoarthritis - pathophysiology

A

Changes within the joint
Unilateral
NOT systemic

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2
Q

Osteoarthritis - clinical manifestations

A

Progressive pain that increases with joint use
Decreased ROM
Tender to touch joints
Bony Swelling
Soft tissue swelling, deformity, instability, crepitus
More pain with activity, pain improves with rest
Heberden’s Node + Bouchard

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3
Q

Osteoarthritis - assessment

A

Unsteady gait
Fatigue
Elevated serum creatinine (NSAID use)
Elevated liver enzymes
Multiple medication use
Vital signs

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4
Q

Osteoarthritis - hypothesis (potential client problems)

A

Pain
Sleep issues
Difficulty caring for self due to pain
Decreased ROM

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5
Q

Osteoarthritis - nursing actions

A

Give medications: Acetaminophen (NSAIDS)
Cold packs
Heating pad

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6
Q

Osteoarthritis - teaching

A

Prescribed medications
PT/OT
Referral to orthopedic sx
Home health referral

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7
Q

Osteoarthritis - evaluation

A

ADLs
Pain goal met

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8
Q

Rheumatoid Arthritis - pathphysiology

A

Chronic systemic autoimmune disease
Bilateral
SYSTEMIC (fever, anemia, malaise, loss of appetite)

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9
Q

Rheumatoid Arthritis - clinical manifestations

A

Joint pain/swelling
Erythema
Morning stiffness
Fatigue
Joint deformity - Swan Neck, Boutonniere, Ulnar deviation

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10
Q

Rheumatoid Arthritis - assessment

A

Unsteady gait
Increased infection
Elevated creatinine/liver enzyme
Fatigue

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11
Q

Rheumatoid Arthritis - hypothesis (potential client problems)

A

Pain
Difficulty sleeping/caring for self
Decreased ROM
Mobility issues

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12
Q

Rheumatoid Arthritis - nursing assessment

A

Labs - CRP/ESR, liver/renal function

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13
Q

Rheumatoid Arthritis - nursing actions

A

Give medications (analgesics, NSAIDS, DMARDS, glucocorticoids)
Frequent rest periods

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14
Q

Rheumatoid Arthritis - teaching

A

Treatment plan
Reporting s/s of infection
Immunosuppressive therapy discontinued if active infection
Keeping up with vaccinations

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15
Q

Scleroderma - pathophysiology

A

Affects skin/organs, autoimmune disease, systemic

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16
Q

Scleroderma - clinical manifestations

A

Thickened hardened skin
Digital ulcers
HTN
Heartburn
Dysphagia
Cough
Pain

17
Q

Scleroderma - assessment

A

Head to toe assessment - disease affects all major organs

18
Q

Scleroderma - teaching

A

Disease processes, protecting skin from trauma

19
Q

Lupus - pathophysiology

A

Autoimmune disease, affects every organ

20
Q

Lupus - clinical manifestations

A

Vague/diverse manifestations
Butterfly rash across cheeks

21
Q

Lupus - labs

A

ESP, CRP, ANA, may be elevated with SLE

22
Q

Lupus - medications

A

Plaquenil (most common)
NSAIDS
Glucocorticoids
Immunosuppressive agents

23
Q

Lupus - nursing assessment

A

Give medications
Head to toe assessment
Monitor labs - BUN and creatinine, urinalysis, CBC, CRP/ESR

24
Q

Lupus - hypothesis (potential client problems)

A

Fatigue
Self-image challenges
Altered skin integrity

25
Q

Lupus - nursing actions

A

Administer analgesics and anti-inflammatory medications

26
Q

Lupus - teaching

A

Treatment plan/disease process
Use sunscreen daily
Keep immunizations UTD
Avoid oral contraceptives

27
Q

Lupus - evaluation

A

Medication compliance, pain goal met, able to carry out ADLs

28
Q

Gout - pathophysiology

A

Uric acid build up in joints, bone, soft tissue caused by inflammation

29
Q

Gout - clinical manifestations/assessment

A

Severe joint pain (big toe)
Tophi in chronic gout
Lab values - elevated uric acid
Swelling, redness, warmth over affect joint
Decreased ROM

30
Q

Gout - hypothesis (potential client problems)

A

Pain, lack of knowledge

31
Q

Gout - nursing actions

A

Give uric acid lowering agents, analgesics and steroids

32
Q

Gout - teaching

A

Avoid foods/drinks high in purines, avoid alcohol (eps. beer), red meat, liver, fish, report flare ups

33
Q

Gout - evaluation

A

Elimination of gout flare-ups and prevent joint destruction

34
Q

Fibromyalgia -pathophsyiology

A

Chronic pain disorder

35
Q

Fibromyalgia - clinical manifestations/assessment

A

Insomnia
Fatigue
Stiffness
Cognitive dysfunction
Anxiety

36
Q

Fibromyalgia - hypothsis

A

Chronic pain
Ineffective coping skills
Depression/anxiety

37
Q

Fibromyalgia - nursing actions

A

NSAIDS
Antidepressants
Antiseizure
Heat/cold therapy

38
Q
A

NUR 355 - Med Surg (1 decks)

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