Exam 3: NSG5 00/ NSG 5 00 (Lates t 2024/ 2025) Advanced Health Assessment Complete Revi ew| Questions and Verified Answers| 100% Correct| Grade A Q: Osteoarthritis Answer: Onset: insidious, over many years Morning stiffness: few minutes, localized joints Pain: on motion, prolonged activity, relieved with rest Weakness: usually localized, not severe Fatigue: unusual Depression/lability: unusual Tenderness: common Swelling: noninflammatory effusion common, little synovial reaction Heat/erythema: unusual, minimal if present Crepitus: coarse to medium on motion Joint enlargement: mild with bony consistency due to osteophytes Q: Rheumatoid Answer: Onset: gradual (weeks to months) or sudden (24 -48 hours) Morning stiffness: several hours Pain: even at rest, may disturb sleep Weakness: often pronounced, out of proportion with muscle atrophy Fatigue: often severe, onset 4 -5 hours after rising Depression/lability: common, coinciding with fatigue and disease activity, often relieved if in remission Tenderness: almost always, most sensitive indicator of inflammation Swelling: fusiform soft tissue enlargement, inflammatory effusion common, synovial proliferation and thickening, symmetric, rheumatoid nodules Heat/erythema: Sometimes present Crepitus: medium to fine Joint enlargement: moderate to severe if an inflammatory effusion is present Q: RA subjective/objective Answer: -joint pain/stillness especially in morning -constitutional symptoms: fatigue, myalgia, weight loss, low grade fever -cause unknown Q: how to identify scoliosis Answer: -lateral curvature or rib hump during flexion to touch toes -uneven shoulder and hip levels; may have crease on one side at the waist -looks like an s or c Q: gout Answer: -onset of hot/swollen joint, exquisite pain, limited ROM -primarily affects men over 40, postmenopausal women -usually the proximal phalanx of the great toe, can also be in wrists, hands, ankles, knees -skin over joint appears shiny/red/purple -uric acid crystals form as tophi under skin with chronic gout Q: OA: onset/subjective Answer: -onset after 40 years, 100% after 75 years old -many have enlarged joints due to bone growths (osteophytes) Q: Sports assessment Answer: neurovascular assessment: color, temp, cap refill, swelling, pain, sensation, movement, Q: Hip range of motion Answer: Raise leg (Flexion 90°) Knee to chest while supine (Flexion 120°) Flex knee and hip swing foot in and out (hyperextension 30) Laying on stomach leg raise (Hyperextension 15°) Swing leg laterally & medially (abduction45°/adduction 30°) Stand and swing leg back Flex knee keeping foot on table and then rotate leg with flexed knee toward other leg (internal rotation 40) Q: knee effusion Answer: loss of concavities Q: Knee ROM Answer: - bend each knee, expect 130 flexion -straighten leg and stretch, expect full extension and up to 15 degrees of hyperex - tension Q: Feet and ankles: swollen/hot/red joint Answer: -sign of RA, gout, septic joint, fracture or tendonitis -if toe (think gout) Q: Feet/Ankle ROM Answer: while sitting ask patient to: -point foot towards ceiling (dorsiflexion of 20) -bend food at the ankle and turn the sole of the foot toward then away (inversion of
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