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What Student Nurses Need to Know to Pass NCLEX; Musculoskeltal System

Updated on January 25, 2013

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


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

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    • tirelesstraveler profile image

      Judy Specht 5 years ago from California

      Nice, will pass it on to friends who are studying for NCLEX. Have you heard that exercise can help with arthritis?

    • Skarlet profile image
      Author

      Skarlet 5 years ago from California

      Exercise is important for people with arthritis to maintain a level of flexibility, and prevent stiffness. You do not have to do run or do any kind of boot camp, but Moderate exercise can actually ease the pain.

    • Seeker7 profile image

      Helen Murphy Howell 5 years ago from Fife, Scotland

      Great hub! I wish all those years ago when I trained that we had such training aids as these - it would have save a lot of study time - and headaches!

      Very interesting and will be very useful for students and trained nurses. Voted up!

    • Skarlet profile image
      Author

      Skarlet 5 years ago from California

      Thank you very much Seeker7. I had tremendous headaches in school too. That kind of inspired my hubs.

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