ExamI4:INSGI320/INSG320I(LatestI2024/I
2025IUpdate)IAdultIHealthINursingIII
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Q:Iosteomyelitis
Answer:
aIsevereIinfectionIofIbone,IboneImarrow,IandIsurroundingIsoftItissue
Q:IriskIfactorsIforIosteomyelitis
Answer:
-diabetes
-orthopedicIprostheticIimplants
-vascularIinsufficiency
Q:IAssessmentIforIosteomyelitis
Answer:
-boneIpain
-swelling
-tenderness
-warmth
-restrictedImovement
-systemic:Ifever,InightIsweats,Ichills,Irestlessness,Inausea,Imalaise
,Q:IdiagnosticIstudiesIforIosteomyelitis
Answer:
-SoftItissueIbiopsy
-Blood,Iwound,IboneIcultures
-WBC,IESR,ICRP
-X-ray:IitIwillInotIinitiallyIappearIuntilI2-4Iweeks
-CTIcanIshowItheIextendIofIinfectionI
-MRIIcanIshowIboneImarrowIedemaI(earlyIsign)
-RadionucleotideIscansIwillIshowIabnormalitiesIearlierIthanIanIx-ray
Q:IinterprofessionalIcareIforIosteomyelitis
Answer:
-aggressiveIandIlongtermIIVIantibioticItherapyIwhenIthereIisInoIboneIischemia
-relatedIsoftItissueIdamageIandIabscessesIareIdebridedIandIdrained
-hyperbaricIoxygenItherapy,Iamputation
Q:InursingIinterventionsIforIosteomyelitis
Answer:
-healthIpromotion
-limbIstabilization
-
pain:IhowIisItheIlimbIhandled,ImuscleIspasms,IadministerINSAIDs,Iopioids,ImuscleIrelaxants,I
non-pharmIinterventions
-dressings
-initiallyIonIbedIrest
-bodyIalignment,Icontractures
-antibioticItherapy
Q:IreactionsItoIhighIdoseIantibioticItherapy
,Answer:
-HearingIdeficit
-ImpairedIrenalIfunction
-NeurotoxicityI(weakness,Inumbness,IcognitiveIchanges
-VisionIchanges
-Headache
-BehavioralIproblems
Q:IGout
Answer:
hereditaryImetabolicIdiseaseIthatIisIaIformIofIacuteIarthritis,IcharacterizedIbyIexcessiveIuricIa
cidIinItheIbloodIandIaroundItheIjoints
Q:IdiagnosticsIforIgout
Answer:
-serumIuricIacidIelevatedIaboveI6mg/dL
-goldIstandardIforIdx:IsynovialIfluidIaspiration
-x-ray
Q:IriskIfactorsIforIgout
Answer:
-Obesity
-IntakeIof:IredI&IorganImeat,Ishellfish,Ifructose
-ETOH
-ProlongedIfasting
-Medications
, Q:IcausesIofIgout
Answer:
furosemide,Ithiazides,Iniacin,IcyclosporineIpharmacologyIreactions
Q:IrheumatoidIarthritis
Answer:
-commonIconnectiveItissueIdisease,IdestructiveItoIjoints
-
chronic,IprogressiveIsystemicIinflammatoryIautoimmuneIdisease;IaffectsIprimarilyIsynovialIjoi
nts
-
transformedIautoantibodiesI(rheumatoidIfactors)IformIandIattackIhealthyItissue,IcausingIinflam
mation
Q:IrheumatoidIarthritisIearlyImanifestations
Answer:
-jointIinflammation
-low-gradeIfever
-fatigueI
-weakness
-anorexia
-parasthesia
Q:IrheumatoidIarthritisIlateImanifestations
Answer:
-deformities:IswanIneck,IulnarIdeviation
