Module 4 Practice Quiz1.Acute bursitis is an inflammation of the fluid filled portion of a join in the shoulder. Resting thejoint, intermittent ice and heat, and NSAIDS are included in the conservative management ofacute bursitis.2.Sickle cell crisis: low grade fever, tachycardia, and pain from the tissue hypoxia and necrosis.3.Chronic cholecystitis occurs following several bouts of cholecystitis. The repeated episodes ofinflammation result in a fibrotic and contracted gallbladder. Because of inflammation in thegallbladder, bile needed to absorb fat- and fat-soluble vitamins is unable to enter the bowel,resulting in steatorrhea (fatty stools). Right upper quadrant pain that can radiate to the back orthe right scapular. Jaundice can occur.4.Biliary obstruction results in excretion of bile through the kidneys, rather than the bowel, whichresults in dark colored urine.5.Diabetes mellitus: reduce cholesterol and saturated fat intake since most DM patients die frommyocardial infarction or heart failure. Keep LDL below 100 mg/dl. Increase physical activity andexercise daily to improve lipid profile and reduce risk for heart disease. Smoking cessation isimportant since it can cause vasoconstriction of vessels. Vasoconstriction increases risk for MIand stroke. Maintain optimal BP to prevent kidney damage. Nephropathy is a pathologic changein the kidney and that reduces function and leads to kidney failure. Diabetes is the leading causeof end-stage kidney disease.6.Chemotherapy: avoid drinking liquids an hour before treatments since it can cause nausea andvomiting. Increase calorie intake.7.Iron deficiency anemia: tomato juice increases absorption. Tea, milk, and dried beans impairsabsorption.8.Age related musculoskeletal changes: decreased muscle mass, vertebral disk atrophy, chest andpelvic width increase with age, force of muscle contraction decreases.9.Maternal newborn blood group incompatibility is the most common form of pathologic jaundice,and the jaundice appears within the first 24 hours of life. Physiologic jaundice occurs AFTER 24hours. Maternal cocaine use: too small for gestational age, tremors, irritability, hyperactivity tostimuli, and poor feeding.10.Heart sounds: turbulence between S1 and S2 heart sounds is a systolic murmur. Third heartsound is an extra sound that is low pitched and occurs in early diastole. A fourth heart sound isan extra heart sound that is low pitched and occurs in late diastole.
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Learn about the nursing care management of patients with osteoarthritis in this nursing study guide. What is Osteoarthritis?Osteoarthritis (OA) is the most frequently disabling among joint disorders.
ClassificationOsteoarthritis is classified into two classifications, yet the distinction between the two of them is always unclear.
PathophysiologyOsteoarthritis may be thought of as the result of many factors that, when combined, predispose the patient to the disease.
Osteoarthritis by Osmosis Check out this awesome pathophysiology and easy-to-understand video by Osmosis. Statistics and EpidemiologyOsteoarthritis often begins with the third decade of life and peaks between the fifth and the sixth decades.
CausesUnderstanding of osteoarthritis has been greatly expanded beyond what was previously thought of as simply “wear and tear” related to aging and the causes include:
Clinical ManifestationsOsteoarthritis has primary signs and symptoms, and that includes:
PreventionAlthough no treatment halts the degenerative process, certain preventive measures can slow the progress if undertaken early enough.
Assessment and Diagnostic FindingsDiagnosis of osteoarthritis is complicated only because of 30% of patients with changes seen on x-ray report symptoms.
Medical ManagementMedical management involves conservative measures, physical modalities, and alternative therapies.
Surgical ManagementIn moderate to severe OA, when pain is severe or because of loss of function, surgical intervention may be used.
Nursing ManagementNursing management of the patient with osteoarthritis includes both nonpharmacologic and pharmacologic approaches. Nursing AssessmentNursing assessment for OA focuses mainly on history and physical assessment.
DiagnosisBased on the assessment data, nursing diagnoses are: Nursing Care Planning and GoalsMain Article: 4 Osteoarthritis Nursing Care Plans After successful management, a patient with osteoarthritis will:
Nursing InterventionsThe major goals of the nursing intervention are pain management and optimal functional ability.
EvaluationAfter the implementation of the care plan, success is evaluated if the client:
Discharge and Home Care GuidelinesAfter discharge, management of OA should still continue at home.
Documentation GuidelinesThe focus of documentation should include:
Practice Quiz: OsteoarthritisHere’s a 5-item practice quiz for this Osteoarthritis Study Guide. Please visit our nursing test bank for more NCLEX practice questions. 1. The most common type of disabling connective tissue disease in the United States is: A. Carpal tunnel syndrome. B. Degenerative joint disease. C. Fibrositis. D. Polymyositis. 2. Pathophysiologic changes seen with osteoarthritis include: A. Joint cartilage degeneration. B. The formation of bony spurs at the edges of the joint surfaces. C. Narrowing of the joint space. D. All of the above. 3. What are the classifications of osteoarthritis? A. Idiopathic B. Primary C. Secondary D. All of the above 4. At what age does osteoarthritis primarily begins? A. 20 years old B. 30 years old C. 60 years old D. 40 years old 5. The diagnostic test that reveals the narrowing of the joint space is: A. MRI D. Physical assessment Answers and Rationale 1. Answer: B. Degenerative joint disease.
2. Answer: C. Narrowing of the joint space.
3. Answer: D. All of the above
4. Answer: B. 30 years old
5. Answer: C. X-ray
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