Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders Flashcards Preview

Pathophysiology Exam 3 > Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders > Flashcards

Flashcards in Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders Deck (38)
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1

What systemic inflammatory disease attacks the lining of the joints?

RA

2

RA affects males or females more?

Females

3

Can RA last a lifetime?

Yes

4

Can RA have remission?

Yes

5

What are the most common symptoms of RA?

-Swelling
-Pain
-Deformity

6

In which disease do WBCs attack the synovium?

RA

7

The causes of RA are unknown but what may be a possible predisposition?

Genetics

8

The joint loses shape and becomes destroyed in what disease?

RA

9

RA is systemic but also localized to what?

The joint.

10

What are joint manifestations of RA?

-Pain
-Stiffness
-Decreased ROM

11

What is one of the most common joints affected by RA?

Knee

12

What are the extra-articular (other than the joint) manifestations of RA?

-Fatigue
-Weakness
-Anorexia/ weight loss
-low-grade fever
-elevated ESR
-anemia

13

What is the ultimate treatment goal of RA?

decrease pain, stiffness, swelling, and increase mobility

14

A client is in acute phase of RA. Which of the following should the nurse identify as lowest priority in the plan of care?

Maintaining usual ways of accomplishing tasks

15

Osteoarthritis (OA) is what type of disease?

Degenerative Joint Disease (DJD)

16

What is the most common form of arthritis?

OA

17

The cause of primary OA is what?

unknown

18

What is the secondary cause of OA?

-Aging
-Obesity
-Repetitive Use

19

OA can affect any joint but primarily affects which joints?

-Hands
-Knees
-Hip
-Spine

20

Inflammation caused when cartilage attempts to repair itself in OA causes what?

Osteophytes (bone spurs)

21

What are the manifestations of OA?

-Pain that progressively worsens
-Crepitus and grinding
-Decreased ROM

22

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with OA?

Local joint pain

23

What is the name for crystal-induced arthropathies?

Gout

24

Gout is caused by what?

Uric acid stones (essentially build up of waste products which move to the joint)

25

Gout affects who primarily?

Men 40-60 y/o

26

What increased lab values will there be if someone has gout?

Serum uric acid levels

27

Cellulitis and Gout present similarly, what is the determining observable factor?

Cellulitis would have a wound

28

What are the manifestations of gout precipitated by:

-exercise
-medications
-foods
-alcohol

29

To diagnose gout would the patient have hyperuricemia?

YES

30

How do you treat gout?

-Diet changes to decrease uric acid consumption
-Increase fluids to rid uric acid
-NSAIDs for pain
-Allopurinol/colchicine to decrease production of uric acid