NSG 255 EXAM 2

Osteo- A

100

In hot & cold therapy which do you use BEFORE exercise?

Hot – heat relaxes

200

Age, genetics, obesity, increased incidence

in females, overuse & hypermobility

(double jointed) are all known risk factors

for ________ ?

Osteoarthritis

300

These are hard or bony swellings

that develop in distal interphalangeal joints (close to finger tip) due to

repeated joint trauma.

Heberden’s Nodules

400

Name 2 nursing considerations when using capsaicin cream.

•Use gloves to apply

•Don’t touch the face

•No external heat sources (will increase the likelihood of burning)

500

First choice medication to relieve pain with osteoarthritis

Acetaminophen

Gouty - Gout

100

Name 2 causes of gout.

1.Hereditary: error in purine metabolism

2.Increased production or decreased excretion of uric acid.

3.Increased intake of high purine foods

4.Meds that interfere with uric acid excretion (salicylates, thiazide diuretics, immunosuppressants)

200

Name 2 TRIGGERS of Gout

Stress, trauma, alcohol intake, surgery, systemic infection

300

Name 2 signs & symptoms of gout

Inflammation, discolored (dusky), painful to touch, localized pain to joint

400

Name the medication of choice for an

acute gout attack

•colchicine (Colcrys)

500

Name 2 diet choices that are high in purine

that a person with gout should avoid

Organ meats, red meats, shellfish, lentils, spinach, asparagus

Hurray for RA

100

This occurs in symmetrical, small

joints of the hands, fingers & feet.

•Rheumatoid arthritis

200

These two diagnostic tests

show inflammation.

+C reactive protein

+ESR

300

This DMARD used for the treatment of moderate to severe RA can cause bone marrow suppression,

hepatotoxicity, severe

photosensitivity & anaphylaxis.

methotrexate

400

A definitive diagnosis of RA

must have at least 4 symptoms

for >6 weeks. Name 4 of the

symptoms.

•Morning stiffness >1 hr

•@ least 3 small joints affected

•Arthritis of wrist or hand joints

•Symmetrical

•Rheumatoid nodules

•Positive rheumatoid factor

Xray changes

500

This procedure often is used in auto-immune disorders to

remove antibodies & decrease

symptoms. Used as a palliative measure.

Blood filtration - plasmapheresis

Lupus - SLE

100

This term means that the body can’t distinguish between self & nonself & creates antibodies

against it’s own cells.

Autoimmune

200

Name 3 triggers of Lupus

•Genetics , Environmental (sunlight, tanning beds, sunburn), Hormones (after menarche, during/after pregnancy, oral contraceptives, HRT)

•Stress/infection

•Drugs (abx, TB meds, anticonvulsants)

300

This syndrome aka “Patriotic Hands” is due to vasospasm induced color

changes of the small cutaneous

arteries in the fingers & toes.

Raynaud’s

400

This is one of the most serious complications of SLE & is the

leading cause of death in

patients w/Lupus.

nephritis

500

Name 4 diagnostic tests to

monitor for a patient with SLE

ESR, C reactive protein, gamma globulin, +ANA, Anti-DNA, Anti-SM (smith antigen), +LE prep, BUN/Creat, Hct, serum complement, EKG, ECHO, CXR

PHARM

100

First line drug for RA

Salicylates (ASA)

200

Name two adjuvant therapy medication classes also used with osteoarthritis patients.

•Anticonvulsants

•Antidepressants

•Antispasmodics

•Hormones

300

This CNS acting non-opiod can

be used for moderate to severe pain & should not be taken

w/antidepressants

Tramadol

400

Name 3 common side effects to

all immunosuppressants

•N/V/A

•Bone marrow suppression

•Toxic to major organs (hepato,nephrotoxicity)

•Teratogenic

500

This class of drugs used for RA are used for mild disease but

have a high risk of CNS,

hematologic & eye problems.

Anti-malarials