Medications
Zyloprim (allopurinol) is used to treat what?
Gout
What is the patient education for the elderly regarding foot disorders?
Assess their feet daily and report any breaks in the skin.
A patient with Carpal Tunnel Syndrome may have a positive _____ and ______ sign.
Tinel's and Phalen's
When assessing a patient, what are the 6 p's?
pain, pallor, pulse loss, paresthesis, paralysis, pressure.
True or False
Osteoarthritis affects joints symmetrically
False
When a patient is taking Celebrex (celecoxib), make sure they are getting plenty of _____.
Fluids
The nurse should educate a patient with Gout to decrease intake of what?
Purine
In this diagnostic test, the doctor may restrict stimulants 2-3 hours prior.
Electromyogram (EMG)
Heberden's and Bouchard's nodes are signs of what disease process?
Osteoarthritis
True or False
Primary Gout usually has higher uric acid levels than Secondary Gout.
False
What medication keeps osteoblasts from taking calcium from bones and is used to treat osteoporosis?
Fosamax (alendronate)
What supplements would the nurse tell a patient with Paget's disease to take?
vitamin D, Calcium
The client complains of early morning joint stiffness and persistent pain. Which lab test is a very specific and sensitive test to diagnose the suspected disease?
Anticyclic citrullinated peptide (anti-CCP)
____ is a partial or incomplete displacement of the joint surface
subluxation
True or False
It is normal for the patient to feel a throbbing sensation when they first start to ambulate after foot surgery.
True
Heparin and Dilantin interfere with calcium absorption and can lead to what?
Osteoporosis
These are all ways to prevent what?
Avoid prolonged sitting at computer or TV
Avoid sleeping in non-aligned spinal positions
Avoid jarring movements during exercise
neck pain
Increased levels of this lab test are found in healing fractures, bone cancers, osteoporosis, osteomalacia, and Paget's disease.
Alkaline phosphatase
What are two ways to determine if the patient has a CSF leak that the nurse can perform?
Halo sign and glucose check
True or False
A patient may have bowel and bladder incontinence with multiple lumbar nerve root compressions (cauda equina syndrome).
True
what disease process would you use SSRIs, tricyclic antidepressants, muscle relaxants, and anticonvulsants to treat?
Fibromyalgia
A patient scheduled for a bone scan is concerned about the safety of the radioisotope injection. What is the patient education for this concern?
It is excreted in feces and urine, so it is not harmful.
Which of these lab values from a male patient would concern the nurse?
alkaline phosphatase: 87 U/L
Calcium: 4.2 mg/dL
phosphorus: 3.7 mg/dL
creatine kinase: 122 U/L
Calcium
What surgery allows for temporary symptom relief in patients with Rheumatoid arthritis?
Synovectomy
True or False
The priority for severe osteoarthritis is joint inflammation.
False