What Student Nurses Need to Know to Pass NCLEX; Musculoskeltal System
NCLEX Overview
This Hub is related to a series of "How to Pass the NCLEX exam," and you may follow the links you see here on this page to get all the information needed to pass the NCLEX the very first time.
Having passed the exam, I believe that the only study aids that were really worth buying are the Silvestri Comprehensive Review, because it contained everything, Exam Cram, because it was well organized, and the ATI DVD review, because it was easy, just lay back and watch the DVD's.
Management:
- Positive serum rheumatoid factor
- increased C-reactive protein
- paraffin dip, hot packs,warm baths
- non-steroid anti-inflammatory drugs: Motrin, Naprosyn, Indocin
- physical therapy
- Surgical intervention to prevent deformities or remove damaged joints
Rheumotoid Arthritis
Assessments:
- Low grade fever
- joint pains
- Enlarged lymph nodes
- Muscle atrophy
- Weakened grip
- Limited ROM
- Joint Deformity
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Gouty Arthritis
This is a metabolic disorder in which the body is unable to properly metabolize purines, which are end products of the digestion of certain proteins..
Assessments:
- Tophi located in cartilage of hands, feet, and ears
- limited ROM
- Pain and swelling
Management:
- uricosuric drugs prevent formation of uric acid formation, such as Allopurinol
- dietary restrictions
- Colchicine to reduce pains and relieve swelling
Nursing Care:
- Encourage fluid intake of 2000-3000 ml daily to avoid renal caluculi unless contraindicated
- avoid salicylates because of antagonistic actions
- instruct patient to avoid foods high in purines (protein foods)
- avoid calcium rich foods such as sardines and dairy procucts
- limit meat and alcohol
A comparison
Rheumatoid Arthritis
| Gout Arthritis
| Osteoarthritis
|
|---|---|---|
Affects upper extremities-fingers
| Affects lower extremities-big toe
| Affects weight bearing joint - hip & knee
|
Autoimmune disease
| Hereditary
| Degenerative disease - loss of cartilage
|
Use over the counter meds/Asprin and Motrin
| Metabolic
| Relieved by rest
|
Apply Heat
| Allopurinol (Zyloprim)
| Provide ROM
|
Promote exercise
| Avoid Asprin
| Promote non weight bearing exercises
|
Provide splints to fingers
| Avoid hight protein
| Warm baths ro relieve stiffness
|
Eat high fiber diet
| Encourage weight loss
| |
Avoid alcohol
|
Remember the general types of Arthritis and their sypmptoms
Paget's Disease
- A skeletal disease of the elderly with chronic inflammation of bones, causing long bones to thicken and soften.
Assessments:
- pain, swelling, and limited ROM
- Promote Vitamin D intake
- Prevent falls
Amazon's NCLEX help;Sylvestri
Osteoporosis
The demineralization of bones caused by illnesses and immobility.
Assessments:
- pathological fractures
- bone deformities
Management:
- Vitamin D
- Calcium Supplements
- High protein/avoid dairy products
Nursing Care
- supportive devices or prevent contractures, and deformities
- exercise to promote circulation
More Nclex Study
- Study For NCLEX LPN. Here is the major Systematic Review (Integumentary System)
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