30 Questions
What is the most common site of fracture related to osteoporosis?
Hip
Who has a major role in prevention, assessment, and teaching related to osteoporosis?
Nurses
What is osteoporosis characterized by?
Low bone mass or density and structural deterioration of bone tissue
At what age can osteoporosis occur in individuals who did not achieve optimal bone mass during childhood and adolescence?
Younger ages
What is peak bone mass?
Individual’s maximum bone density and strength
What are some causes of osteoporosis at younger ages?
Poor nutrition, underlying disease, prolonged immobility, and extreme exercise leading to amenorrhea
Where are patients with osteoporosis or low bone mass generally treated?
Outpatient settings
What is the drug of choice for people with gout due to overproduction of uric acid?
Allopurinol
Which drug is effective in treating people with gout who underexcrete uric acid?
Probenecid
What is the recommended fluid intake to prevent renal calculi during gout treatment?
2000 mL/d
Why should people with hypersensitivity to aspirin not take NSAIDs?
Due to the risk of cross-sensitivity to other antiprostaglandin drugs
What is the purpose of using gastroprotective drugs with chronic use of nonselective NSAIDs?
To prevent upper GI bleeding
What does the BLACK BOX WARNING state about patients who take meloxicam?
They are at risk for cardiovascular events and GI bleeding
Which drug is the only antigout drug with anti-inflammatory effects?
Colchicine
What therapeutic effects result from drug-induced inhibition?
Analgesia and anti-inflammatory activity
What risk is associated with NSAID use for people with hypersensitivity to aspirin?
Cross-sensitivity to other antiprostaglandin drugs
What is the primary cause of gout?
Elevated plasma uric acid concentrations
What is a key factor influencing gout?
Metabolic factors
What is a crucial aspect of managing osteoarthritis?
Nonpharmacological and pharmacologic approaches
What is a common symptom of clinical gout?
Acute, intense, and painful arthritis
What is a key role of nurses in managing fibromyalgia?
Advocating for patients and providing education
What is a focus of osteoporosis treatment?
Calcium, vitamin D, and bisphosphonates
What is a risk factor for osteoporosis?
Calcium and vitamin D deficiencies
Which age group is primary osteoporosis commonly seen in?
Women after menopause
What is a common nursing intervention for osteoporosis?
Patient education about bone health
What is a characteristic of osteoarthritis?
Frequently disabling among joint disorders
What is a factor contributing to osteoarthritis?
Repetitive use due to occupational or recreational factors
What is a common clinical manifestation of osteoarthritis?
Limited effects to the joints unlike other forms of arthritis
What is a common misconception about osteoarthritis?
It is often underdiagnosed
What has the understanding of osteoarthritis expanded beyond?
The previous notion of 'wear and tear' related to aging
Study Notes
Osteoporosis and Osteoarthritis: Nursing Interventions and Clinical Manifestations
- Osteoporosis can be primary or secondary, with primary osteoporosis occurring in women after menopause and men later in life, and secondary osteoporosis being the result of medications or other conditions affecting bone metabolism.
- Common signs and symptoms of osteoporosis include fractures, kyphosis, decreased calcitonin and estrogen, and increased parathyroid hormone.
- Nursing interventions for osteoporosis include patient education about bone health, assessment of risk factors, fall prevention strategies, and promoting adherence to medication and lifestyle changes.
- Treatment of osteoporosis focuses on calcium and vitamin D supplementation for fracture prevention, as well as bisphosphonates.
- Osteoarthritis is the most common form of arthritis, characterized as 'wear and tear' or degenerative arthritis, and is frequently disabling among joint disorders.
- Osteoarthritis can be classified as primary (idiopathic) or secondary (resulting from previous joint injury or inflammatory disease).
- The pathophysiology of osteoarthritis involves mechanical injury to the articular cartilage, chondrocyte response, release of cytokines, stimulation of enzymes, and resulting damage that predisposes to further damage.
- Factors contributing to osteoarthritis include increased age, obesity, previous joint damage, and repetitive use due to occupational or recreational factors.
- Osteoarthritis commonly affects weight-bearing joints and those used most often, with a slow onset typically affecting individuals over 40 years old.
- Clinical manifestations of osteoarthritis include pain caused by an inflamed synovium, stiffness experienced in the morning or upon awakening, and limited effects to the joints unlike other forms of arthritis.
- Osteoarthritis is often overdiagnosed, trivialized, and either overtreated or undertreated, with its functional impact on the quality of life of elderly patients frequently ignored.
- The understanding of osteoarthritis has expanded beyond the previous notion of "wear and tear" related to aging, with various causes including increased age, obesity, previous joint damage, and repetitive use.
Test your knowledge of nursing interventions and clinical manifestations for osteoporosis and osteoarthritis with this informative quiz. Explore primary and secondary osteoporosis, common signs and symptoms, nursing interventions, and treatment options. Learn about the classification, pathophysiology, contributing factors, and clinical manifestations of osteoarthritis. Enhance your understanding of these common bone and joint disorders in healthcare.
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