Flashcards in Musculoskeletal System Deck (38)
What are the common symptoms of rheumatoid arthristis?
-swelling of both hands and wrists
What methods would a nurse use to assess rheumatoid arthritis?
* Avoid ROM b/c ROM promotes pain
What activity recommendations should the nurse provide to a client with rheumatoid arthritis?
-Do not exercise painful, swollen joints
-Do not exercise any joint to the point of pain
-Perform exercises slowly and smoothly; avoid jerky movements
Avoiding sunlight is key in the management of
What four factors trigger lupus?
What population is at the highest risk for osteoporosis?
Postmenopausal, thin white women.
What is a great source of calcium that is available over the counter encouraged for osteoporosis?
The main cause of factures in older adults is
What are the four classifications of fractures
Complete: A break across the entire cross section of the bone
Incomplete: A break across only part of the bone
Closed: No break in the skin
Open: Broken bone protrudes through skin or mucous membranes
What type of fracture is more difficult to heal: An extracapsular fracture or an intracapsular fracture?
Intracapsular because of a decrease in blood flow
How do you properly used crutches?
The client advances both crutches and the impaired leg at the same time. The client then swings the uninvolved leg a head to the crutches
What side is the cane placed on?
The affected side
What time frame is a patient most at risk for developing a fat emboli post fracture?
What is the initial symptom of a fat emboli?
Confusion due to hypoxemia
In clients with hip fractures what is the most common complication?
What are prevention strategies for thromboemoli?
-use of elastic stockings
-elevation of the foot of the bed to 25 degrees
-low dose heparin therapy
Where do you check for compartment syndrome?
Distal to the injury
What are the 5P's for neurovascular functioning?
What is the biggest complication post op for a joint replacement/.
Fractures of bone predispose the client to anemia, especially if long bones are involved. Check pts hematocrit....
every 3-4 days to monitor erythropoiesis
What complications are immobile clients prone to
-formation of urinary calculi- limit milk
How long do you elevate the stump post operatively?
What happens if the stump is elevated too high?
What time frame do you not elevate the stump?
after 48 hours
how often does an amputee need to be in the prone position?
Three times a day to prevent hip flexion contracture
Differentiate between RA and OA in terms of joint involvement?
RA - occurs bilaterally
OA- occurs asymmetrically
Identify the categories of drugs commonly used to treat arthritis
Identify pain relief interventions for clients with arthritis
-Warm, moist heat
What measures should the nurse encourage female clients to take to prevent osteoporosis?
-Possible estrogen replacement after menopause
-High calcium and vitamin D intake beginning in early adulthood
-Calcium supplements after menopause
-weight bearing exercise