NSG 500 - Advanced Health Assessment Exam 3 Question: 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/lab ility: 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 Question: 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 ef fusion 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 Question: RA subjective/objective Answer: -joint pain/stillness especially in morning -constitutional symptoms: fatigue, myalgia, weight loss, low grade fever -cause unknown Question: 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 Question: gout Answer: -onset of hot/swollen joint, exquisite pain, limited ROM -primarily affects men over 40, postmenopausal women -usually the proximal p halanx 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 Question: OA: onset/subjective Answer: -onset after 40 years, 100% after 75 yea rs old -many have enlarged joints due to bone growths (osteophytes)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller quiz_bit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R149,42. You're not tied to anything after your purchase.