50 terms

Nur190 Final

The nurse explains to a 51 year old soccer instructor who is diagnosed with osteoarthritis that the disease is best understood as a _______ of articular cartilege.
periods of remission
The nurse explains to a patient with rheumatoid arthritis that the drug abrava is a disease modifying anti rheumatic drug (DMARD). This medication will provide ________________.
On discharge, the nurse suggests to a patient that has had a total hip replacement that to protect the new joint the patient should use a _________ toilet seat.
skin, bone, internal organs
The nurse clarifies that a connective tissue disease is one that affects ____________, _______ or _______ _______.
symmetrical billateral joint
The nurse recognizes that a patient with rheumatoid arthritis will demonstrate the diagnostic characteristic of this disorder, which is _______ _________ ________ swelling.
When the patient asks why systemic glucocorticoid medications, like Prednisone, are used as a last choice for treatment of RA, the nurse's most affective information reply would be that it causes further _______ (possibly----the answer will be "B")
kidney stones
The nurse includes in the teaching plan for a patient with gout, the need to be alert for signs of __________
peripheral pulses
The nurse is caring for the immediate post op patient that has had a total knee replacement, the nurse would be careful to assess and document the patient's quality of ______ ______
The nurse would include in a teaching plan in a patient with carpal tunnel syndrome instructions about _____ to prevent hyperflexation.
bone density
The nurse questions the adult patient about the age related changes that she has experienced in her connective tissue which has lessened her mobility. These changes are most commonly a loss of ______ ________.
fat emoblus
A patient is one day post op for a crushed pelvis. The C N A reports to you that the pt is complaining of being short of breath and is demonstrating signs of confusion and restlessness. The nurse suspects these as signs of what?
dead bone
The pt that has osteomyolitis following multiple fractures inquires what the physician meant when he said that surgery would follow antibiotic therapy. The nurse's best reply to this is to explain that the surgery will be done to do remove _____ ________.
compartment syndrome
A pt with a crushed forearm cannot get pain relief with opiates. The injury site is swollen, cool, and cyanotic with weak distal pulses. The nurse assesses this as a _____________________. (what is this a sign of?)
The pt has sustained a simple fracture of the left fibia 7 days ago asks, in what stage of bone healing what might he be in?
urine, 8
In caring for a patient that was just admitted for a pelvic fracture, the assessment that would cause the most concern is no ______ output for ____ hours.
The patient just had a plaster of paris upper extremity cast placed because of a fractured radius. The statement indicated that the patient understands the discharge teaching relating to cast care would be to ____ the affected limb.
The nurse is assisting with the application of a short arm plaster cast. The nurse would take special care to do keep the surface ________.
outside, skin
When the nurse is told that a patient has a compound comminuted fracture, the nurse is concerned because this type of fracture is one in which the bone is ______of the _____________
left crutch, right foot, right crutch, left foot
A patient with bilateral avascular necrosis of the hips is to walk with crutches using a four point gait for 6 weeks after her bone decompression surgery. This means to advance the _____ ____ first, then advance the _______ _____, then advance the _______ _____, then advance the _______ _____.
distal pulses
Because the patient has a compound fracture, the nurse should assess the ____ _______.
elevation in temps
The nurse is documented and reporting the signs and symptoms underneath a cast. What should be included in the documentation?
The nurse would choose the nursing dx with the highest priority after surgery for an open reduction and external fixation of the ankle, which is a risk for ______.
When the pt has been in a full body cast, or SPICA, complains of nausea and abdominal distention, the L P N alerts the charge nurse about the possibility of __________________________________________.
purulent drainage
The finding that would produce the most concern when performing pin care for a pt with an external fixator is ________________________________.
hang freely
In dealing with the weights that are applying traction, the nurse should ensure that the weights always ____ ______.
bent, broken, children
A greenstick fracture is when the bone is partially _____ and ____; it is especially common in ____.
ASAP within 3 weeks
When the pt asks when he should expect to be up and walking after his below the knee amputation, the nurse assures him that most amputees are fully weight bearing in what amount of time:
surgical removal
An 80 year old man with diabetes has a vascular problem with his feet and legs for 10 years and is scheduled for a left below the knee amputation. The remark by the patient that indicates understanding of the procedure is that it is a ________ ______ of body limbs or parts of limbs.
quit smoking
The patient with peripheral vascular disease and diabetes asks what he can do to help prevent an amputation. The nurse would respond that the patient should _____ ______.
trauma, disease, tumor, congenital problems
A closed amputation is usually performed for what reason (name four)
phantom pains
The patient who had a left below the knee amputation 3 days ago is complaining of burning pain in his left foot. The nurse should explain that these are _____ _______.
To reduce the possible of hip contractures in a patient that is a below the knee amputee, the nurse periodically places the patient in the ______ position.
The greatest danger in early post op period after amputation is _________.
clean cloth, normal saline, plastic bag, ice
A patient who accidentally amputated his thumb in a lawnmower accident hands the E R nurse his thumb in a glass jar. The nurse should wrap the finger in a _____ _____, saturate it with ______ ______, place it in a ______ ______, and put it on ______.
bright red bleeding
Which of the following post op vital signs or observations should be reported to the physician immediately?
Mrs. Hall is in her first post op day after a total hip replacement for treatment of degenerative arthritis. Mrs. Hall's operated limb be kept _______ at all times
pillows, legs
When turning a patient that has just had a total hip replacement, the nurse should use three _____ between their _______.
Mrs. Grant is 73years old and has been admitted to your unit with an exacerbation of her rheumatoid arthritis. Her hands are crippled, and her right lower extremity is deformed. Her admission lab results would most likely show elevated _____ and decreased ______.
fluids, 2500, urinary stone
The nurse prepares to reinforce discharge instructions for a patient taking ALLOPURINOL. The nurse should tell the patient to increase ______ to ______ml/day to reduce the risk of ____ _____ formation
fat embolism
The most serious complication of a long bone fracture is ____________ ______________.
fragments, debris, rods, pins
Mr. Smith is 36 years old. He has suffered a compound comminuted fracture of the lower femur. He has undergone surgery for an open reduction and internal fixation of this affected appendage. In an internal fixation, the area is cleaned of ______ and ______, then aligned and _____ and ____ are used to stabilize the fracture.
Whenever a patient has sustained a musculoskeletal injury, the most important assessment in the patient's distal extremities for the nurse to make would be__________________________ .
pain management
An intervention to improve participation in rehabilitative exercises post operatively is ___________ ________.
A patient has been prescribed a diet that limits purine rich foods. Which foods would the nurse teach him to avoid eating?
aligned, supine
A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse would do keep the patient ____ in the ____ position
The nurse is caring for a patient with osteoarthritis of the knees. The nurse would most likely detect crepidation during the _______ portion of the assessment.
insomnia, dyspnea, numbness, headache
For a patient with an exacerbation of rheumatoid arthritis, the dr. prescribes PREDNISONE, aka Deltasone. When caring for this patient, you should monitor for which adverse drug reactions (name 4)
3, axillary
Crutches are properly fitted when you can place ____ fingers between the top of the crutch and the _________.
outstretched hand
The most common cause of a COLLIES fracture is when an ______________ ___________ is used to break a fall.
calcium, protien
The diet for a patient with a serious fracture should include increases in ____ and ____