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MS-Musculoskeletal Matching #3

AB
Colchicine does this for gout...decreases inflammation
Do this to a cast to decrease roughness of the edges...petal the edges
Difference between osteoarthritis and rheumatoid arthritis...Osteo is localized; rheumatoid is systemic
Most commonly affected joint in Gout...the great toe
Painful swelling of the metatarsophalangeal joint; possibly congenital or caused by wearing shoes that are too short or narrow...bunion
Intervention when you can't palpate a pulse on an affected extremity...verify the findings with a handheld Doppler
Most serious complication of a long bone fracture...fat emboli
Usual pattern of gout...painful attacks with pain-free periods
Length of time for full effects of NSAIDs to be felt...2-3 weeks
If herniated disk is suspected, which tests are best to show this...myelography, MRI, or CT scan
A fracture in which one side of the bone is broken and the other side is bent...greenstick fracture
Low-purine diets...stay away from this...organ meats, anchovies, sardines, shellfish, chocolate, meat extracts, sweetbreads, lentils
Do these things immediately post-op for the patient with an amputation...elevate extremity for first 24 hours to reduce edema and pain by increasing venous return and keep pressure dressing on for first 48-72 hours
Increased thoracic curve (humpback)...kyphosis
Inward curvature to lower back (swayback)lordosis
Curvature of the spine...scoliosis
S/S of OA vs. RAOA; noninflammatory foint disease-RA; inflamed, swollen joints
Many spinal surgeries are closed spine surgery using this...endoscope
Treatment of acute osteomyelitisLarge doses of IV antibiotics (ATBs)
Patient is in skeletal traction...what is one of the first things to check if they complain of severe pain...alignment in bed
Patient goes home with external fixation device after leg fracture...what is proper technique for lifting...lift leg by supporting it under the knee and ankle while avoiding pressure on the device
This happens when the epiphysis closes...no further increase in bone length
Primary intervention to treat gout attack...pain medication
Treatment for herniated nucleus pulposus (HNP) if not surgery...heat, pain medication, and physiotherapy
Preventative measures for hip dislocation after replacement...avoid bending the hip beyond 90 degrees, use assistive devices such as raised toilet seat, abduction pillow, and do not cross legs
Characteristic pain of OA..joint stiffness that decreases with activity
Nursing assessment priority for patient receiving epidural for pain control...assess sensation in legs-if decreased or absent this could signal catheter displacement and may cause spinal injury
A primary nursing intetrvention for a patient in sleletal traction...assess pin sites every shift and as needed
Treatment of compartment syndromefasciotomy
A nursing intervention for the patient in whom compartment syndrome is suspected...remove all external sources of pressure (clothing, jewlery, etc)


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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