Joint Aspiration Procedure Reasons

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Questions and Answers

What is one reason for performing a joint fluid analysis?

To monitor neurovascular status
To diagnose the specific type of arthritis occurring within a joint (correct)
To diagnose a muscle strain
To apply heat to relieve muscle spasm

What is the primary goal of neurovascular status monitoring?

To relieve muscle spasm and promote vasodilation
To apply cast mobilization
To assess circulation, motion, and sensation in the injured extremity (correct)
To diagnose gouty arthritis

In managing a muscle strain, what is typically initiated in 2-5 days?

Surgical repair
Heat application to relieve muscle spasm
Cast mobilization
Passive and active exercises (correct)

What is the significance of checking for crystals in the joint fluid?

To diagnose gouty arthritis (B) Signup and view all the answers

What is the purpose of applying heat intermittently for 15-30 minutes, 4 times a day?

To relieve muscle spasm and promote vasodilation (C) Signup and view all the answers

What is a potential treatment for severe sprains?

Surgical repair (C) Signup and view all the answers

Why is joint fluid analysis important in diagnosing arthritis?

To determine the specific type of arthritis (D) Signup and view all the answers

What is a common cause of a muscle strain?

Improper use or overstretching (A) Signup and view all the answers

What is the primary purpose of injecting a contrast material during arthrography?

To reveal the presence of hemarthrosis (B) Signup and view all the answers

What should a patient avoid doing for 8 to 12 hours before an open biopsy?

Eating or drinking (A) Signup and view all the answers

What is the recommended elevation duration for the biopsy site after the procedure?

24 hours (C) Signup and view all the answers

Why is it essential to monitor the biopsy site for edema, bleeding, and pain?

To identify potential complications (A) Signup and view all the answers

What is the primary purpose of using ice packs after the biopsy procedure?

To prevent the development of hematoma (C) Signup and view all the answers

What is the recommended duration for keeping the biopsy site dry after the procedure?

48 hours (B) Signup and view all the answers

What should a nurse do if a patient is pregnant and scheduled for an arthrography procedure?

Notify the physician (C) Signup and view all the answers

What is the primary purpose of removing jewelry before an arthrography procedure?

To prevent interference with the procedure (A) Signup and view all the answers

What is the benefit of using COX-2 inhibitors over other NSAIDs?

They are less likely to cause gastric irritation and ulceration. (D) Signup and view all the answers

What is the goal of prescribing medication to a patient with advanced, unremitting RA?

To relieve pain and improve the quality of life. (B) Signup and view all the answers

What is the primary risk factor for developing OA?

Age. (B) Signup and view all the answers

What is the primary clinical manifestation of OA?

Joint stiffness. (D) Signup and view all the answers

What is the name of the surgical procedure that involves the excision of the synovial membrane?

Synovectomy. (B) Signup and view all the answers

What is the goal of prescribing methotrexate to a patient with RA?

To slow down disease progression. (B) Signup and view all the answers

What is the primary pathophysiological mechanism of OA?

Cartilage degradation and bone stiffening. (A) Signup and view all the answers

What is the diagnosis of RA based on?

A combination of clinical manifestations and x-ray findings. (C) Signup and view all the answers

What is the treatment for gout?

Medications to reduce uric acid production. (C) Signup and view all the answers

What is the primary laboratory test used in the diagnosis of gout?

Uric acid level. (D) Signup and view all the answers

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Study Notes

Reasons for Procedure

Diagnose and treat a painful, swollen, fluid-filled joint
Diagnose specific type of arthritis, such as rheumatoid arthritis (RA)
Check for crystals in joint fluid, a sign of gouty arthritis (GA) / gout

Joint Injury and Treatment

Severe sprain may require surgical repair and cast mobilization
Monitor neurovascular status (circulation, motion, sensation) of the injured extremity
Apply heat intermittently after 24-48 hours to relieve muscle spasm and promote vasodilation
Strain (muscle pull) may require passive and active exercises in 2-5 days, depending on severity
Rest, ice, compression, and elevation (RICE) may be necessary

Arthrography/Arthrogram

Contrast material is injected to study the joint space on an x-ray image
Reveals presence of hemarthrosis (bleeding into the joint cavity) or infection
Nursing considerations: notify physician if patient is pregnant, remove jewelry, and monitor for edema, bleeding, and pain

Rheumatoid Arthritis (RA) Treatment

Medication programs: antirheumatic agents (antimalarials, gold, penicillamine, or sulfasalazine), cyclo-oxygenase inhibitors, and methotrexate
Formal program with occupational and physical therapy
Reevaluate medication program periodically and make changes as needed

Osteoarthritis (OA)

Most common and frequently disabling joint disorder
Classification: primary (no prior event or disease related to OA) and secondary (resulting from previous joint injury or inflammatory disease)
Pathophysiology: affects articular cartilage, subchondral bone, and synovium
Risk factors: increasing age, obesity, previous joint damage, repetitive use, anatomic deformity, and genetic susceptibility
Clinical manifestations: pain, joint stiffness, and limited range of motion

Gouty Arthritis (GA)

Elevated serum uric acid level
Joint x-rays show damage consistent with gouty arthritis
Recurrent attacks of pain and swelling in the joints
Uric acid is not excreted by the body, leading to urate formation and accumulation in the joints

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