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43 Cards in this Set
- Front
- Back
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chronic low back pain duration?
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3+ months
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low back pain causes?
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muscle strain, osteoarthritis, disc problems
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low back pain tx?
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exercise & rest
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low back pain nursing dx?
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pain, impaired physical mobility, knowledge deficit
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low back pain nursing teaching?
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body mechanics, sleeping positions, back exercises, stress reduction, altered work habits
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bursitis/tendonitis tx?
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rest of extremity, alternate ice & heat, & NSAIDs
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Carpal Tunnel caused by?
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compression of median nerve @ wrist
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Carpal Tunnel manifestations?
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pain, numbness, paresthesia, weakness of #1-3 digits
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Tinel's sign?
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pt reports pain, tingling, or numbness when you compress nerve
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Carpal Tunnel tx?
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splints, rest from repetative motions, NSAIDs, cortisone injections, possible surgery
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Ganglion
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gelantinous cyst usually found near the tendon sheath on the dorsum of the wrist
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Ganglion tx?
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aspiration or surgical removal
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Dupuytren's contracture
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inherited; causes contacture of 4th & 5th digits
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Dupuytren's contracture tx?
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surgical removal of the fascia w/ strengthening exercises post-op
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Nsg dx for wrist/hand surgery?
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risk for neurovascular dysfunction, pain re: inflammation, risk for infection re: surgery, self care deficit
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wrist/hand surgery assessment interventions?
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color, temp, cap refill, movement, & edema q2-4h
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wrist/hand surgery pain interventions?
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analgesics, ice (or ice/heat)24h, elevate heart level
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wrist/hand surgery monitor interventions?
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elevated temp, drainage, increased pain or swelling
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hallux-valgus?
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displacement of great toe toward other toes
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hallux-flexus?
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hammertoe (flexion deformity of the interphalangeal joint
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pes cavus (clawfoot deformity) causes?
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heredity, DM, tertiary syphillis
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pes cavus (clawfoot deformity) tx?
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exercise, braces, surgery
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morton's neuroma?
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neuroma-like mass of the median plantar nerve
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morton's neuroma manifestations?
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burning pain & ischemia
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morton's neuroma tx?
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foot protectors, hydrocortisone injections, surgery
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Nsg dx for post-op (foot)?
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risk for altered peripheral tissue perfusion, pain, impaired physical mobility, risk for infection
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Nsg assessment interventions for post-op (foot)?
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NV checks q2h for 24h, elevate to heart level, ice 24h, analgesics
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Nsg teaching interventions for post-op (foot)?
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non-wt/partial wt bearing, use of crutches/walker, keep covered, s/sx of infection or impaired circulation to report
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osteoporosis?
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calcitonin decreased, estrogen decreased, parathyroid hormone increased
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osteoporosis can cause?
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spntaneous fractures, kyphosis w/ possible pulmonary restriction
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osteoporosis risks?
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small boned white women, smoking, caffeine, alcohol, little/no exercise, nutritional deficits
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osteoporosis medical conditions risks?
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cushing's, hyperthyroidism, & renal/liver failure
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osteoporosis medication risks?
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corticosteroids, INH, anticonvulsants, heparin, lasix
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increase bone mass with?
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vitD, calcium, & wt bearing exercises
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medications to increase bone mass?
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HRT, calcium & vitD, fosamax (alendronate), calcitonin (nasal spray, SQ, IM
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osteomalacia
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adult form of rickets
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osteomalacia causes what?
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pain, tenderness of bones, kyphosis, bending of long bones
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osteomalacia caused by?
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deficiency of activated VitD (calcium & phosphate don't calcify bones)
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osteomalacia tx?
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increased Vit D (monitor for excess), calcium, sunlight
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paget's disease
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chronic inflammation of bones, resulting in thickening & softning of bones, & bowing of long bones
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paget's disease can cause?
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misalignment of hips, knees, & ankles resulting in pain & arthritis
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Paget's manifestations?
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skull, femur, or tibia thickening; spine bent forward, rigid thorax, and arms bent forward & outward
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Paget's tx?
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(depends on severity) NSAIDs, wt reduction, calcitonin, fosamax, mithracin, & monitoring renal/hepatic/bone marrow funtion
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