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A comprehensive review of key concepts from nu 189 exam 1, covering various medical conditions such as lyme disease, osteoarthritis, gout, and scleroderma. It includes signs and symptoms, complications, and treatments for conditions like rheumatoid arthritis, osteoporosis, and neurological disorders such as concussions, huntington's disease, and parkinson's disease. The notes also cover interventions, medications, and important nursing considerations, making it a valuable resource for nursing students preparing for exams. The document also includes information about guillain-barre syndrome and myasthenia gravis.
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2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen What kind of disorder is lyme disease inflammatory disorder of connective tissue What kind of disorder is osteoarthritis degenerative joint disease What kind of disorder is rheumatoid arthritis? autoimmune What is gout A systemic disease caused by the buildup of uric acid in the blood (hyperuricemia). crystals in joints gout
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen S/S of lyme disease bulls eye bite swollen nodes pain/stiffness in joints fever headache S/S of osteoarthritis joint and muscle pain S/S of gout Lumps/stiffness/welling in big toe deformity and redness S/S of scleroderma hardening tissue of skin and connective tissue
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen hereditary age meds (steroids/PPI's) calcium and vitamin D deficiency smoking caffeine ETOH sedentary lifestyle small/thin/white or Asian women postmenopausal Etiology of scleroderma autoimmune etiology of sjogrens syndrome autoimmune associated with RA, lupus and scleroderma hallux valgus
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen bunion subluxation partial dislocation kyphosis hunchback sprain complete or partial tearing of the ligaments Bivalve split through al layers of material fasciotomy Linear incisions in the fascia
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen kidney stones contractures Shortening or contraction of a muscle or tendons atrophy shrinking or wasting away of tissues or organs due to disuse, injury or diseased osteopenia thinner than average bone density crepitation the grating sound heard when the ends of a broken bone move together ligaments are tough, fibrous connective tissue that connect bones to other bones
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen tendons fibrous tissue that connect muscles to bones, allowing muscles to move and control joint motion decorticate posturing
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen a person with a condition or quality that impacts common activities such as walking, talking, reading, or learning impairment a loss of function or ability lived experience is influenced by perception of illness, age, gender, culture and economic status How do you assess for descrease in muscle strength handgrips, standing How do you assess for generalized weakness? unsteady gait or balance How do you assess for pneumonia crackle, sputum
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen scleroderma localized in the skin systemic in the heart localized skin scleroderma skin and connective tissue that harden and tighten. patches that are thick, white or pale in the center surrounded by a purple border systemic heart scleroderma may develop dysrhythmias, CHF and pericarditis Interventions for localized scleroderma non steroid, anti-inflammatory meds or corticosteroids skin lotion or moisturizers
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen After teaching the client with severe rheumatoid arthritis about prescribed methotrexate (Rheumatrex) which of the following statements indicates the need for further teaching? i will take my vitamins while i am on this medication 3 multiple choice options A client with rheumatoid arthritis tells the nurse, "I know it is important to exercise my joints so that I won't lose mobility, but my joints are so stiff and painful that exercising is difficult." Which of the following responses by the nurse would be most appropriate? Take a warm tub bath or shower before exercising. This may help with your discomfort. 3 multiple choice options Lyme disease treatment Doxycycline (antibiotics) Rash is a tell tale sign of what? Lyme disease
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen if left untreated, Lyme disease can lead to Bell palsy meningitis carditis What does a lyme disease rash look like? bulls eye S/S of Osteoarthritis aching pain with joint movement stiffness limitation of mobility nodules present and joint deformity Occurs asymmetrically and typically affects only one or 2 joints secondary osteoarthritis
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen s/s of acetaminophen overdose nausea, vomiting, diarrhea, sweating Liver damage:
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Affects smaller joints first RA Joints are warm, swollen and tender RA What body systems can RA effect Common in the hands, wrists and feet Localized affects a single organ or a tissue systemic affects many organs or tissues mixed affects a localized and systemically areas
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Examples of NSAIDS aspirin, ibuprofen, naproxen advil, motrin, aleve celebrex Examples of corticosteroids prednisone, dexamethasone arthroplasty joint replacement (knee, shoulder, elbow, finger, ankle or hip) First line DMARD for RA Methotrexate Long term steroid use for RA can cause diabetes, osteoporosis, HTN, acne, cataracts and weight gain
2027 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen CPM continuous passive motion and water is on continuous circulation through a pad placed o the knee or affected joint TKR post operative complications redness tenderness swelling pain wearing of the bearings infection loosening of the prosthesis Calcium is essential for bone growth and density Food filled with calcium
