NIU NURS 308 Exam 2 – Questions With Fully
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What is the etiology of Rheumatoid Inflammatory autoimmune joint disorder. More in
Arthritis? women around 40-50 yrs old. They have antibodies
against the IgG fragments= the body is fighting its
own joints= inflammation.
Rx= treat pain, treat symptoms of stiffness swelling.
maintain mobility, physical rest and therapeutic
exercises.
Can give immunosuppresent drugs.
Real stages of Alzheimer's 1- Early- measurable short term memory loss, mild
ADL problems
2- Middle- moderate to severe cognitive issues, ADL-
dependent
3- late- little cognitive ability, ADL depndent,
incontinent
4- end- no significant cognitive function,
nonambulatory, bed bound, unable to eat
What are fusiform muscles? long, strap shaped muscles that go from joint to joint,
like the bicep.
What are pennate muscles? broad, flat, oblique fibers, they are thinner, so like the
deltoid.
How does muscle and fat mass Usually after 50, your muscle mass decreases about
change over a life? 1/2 of a pound a year, and Increases by 1 lbs of fat a
year.
,How does a fracture manifest? localized shock/ numbness
Who is it hardest to get a pain kids and the elderly
assessment from?
What are the risk factors for gout? ***** Begins with purines and then the crystalize
into uric acid. So a diet high in purines will increase
your chances of getting gout****
Other than that, bear drinking, dehydration, diet high
in purines, eat less red meat, lower fructose intake,
don't do drugs
What is the first stage of a bone Inflammation/hematoma formation- which is when
fracture healing? the break right away fills with a fibrin network, and
fills with blood.
What is the second stage of a bone Procallus formation- cells grow along the fibrin
fracture healing? meshwork in order to begin to form new tissue
What is the third stage of a bone callus formation- calcium salts will be deposited into
fracture healing? the new tissue to give the bone some structure while
it is healing
What is the fourth stage of a bone callus replacement- the old calcium salts start to
fracture healing? grow into new regular bone cells
What is the fifth stage of a bone Remodeling- all of the new tissue is remodeled into
fracture healing? bone- this can even take a few years depending on
the severity of the break.
What is the role of the dura mater? It is the outer covering of the brain and the spinal
cord, it is very thick and tough
What is the role of the arachnoid the middle layer, which is named for its spider web-
mater? like appearence
, What is the role of the pia mater? it sticks on the brain, the innermost layer, holds all of
the capillaries that nourish the brain.
How do you assess pain? You have to agree with what the patient says, you
want to assess
When it started
what type of pain it is (stabbing, burning)
See if they can point to it (localization)
if it radiates
the intensity of the pain (on 1-10)
The quality of the pain
If there is a pattern to it (worse at night or in the AM)
Does anything make it better? Worse?
What electrolyte plays the biggest Calcium plays the biggest role in muscle contraction
role in muscle contraction?
What is the pathophysiology of People with MS have problems with nerve
multiple sclerosis? conduction because they don't have enough myelin
in their axons.
If you were to restore the myelin, they wouldn't have
any problems anymore. It is an autoimmune disorder
where the own body attacks the myelin sheaths
What is the pathophysiology of ALS? ALS or amyotrophic lateral sclerosis or lou gehrig's
disease, this involves damage to the upper motor
neurons of the cerebral cortex, and the lower motor
neurons of the brain stem and spinal cord. The
sensory neurons, cognitive function, and cranial
nerves 3, 4, and 6 are not affected.
** The nerves lose their function to trigger muscle
movement, which results in muscle weakness,
disability, and eventually death (fairly quickly),
because lungs and heart quit working.
What is the difference between a An aura is like when something happens that you
migraine with an aura and one without know the migraine is coming, like a smell or a sight or
it? something like that