MOD10 OSTEOARTHRITIS: DEGENERATIVE JOINT DISEASE
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Questions and Answers

What is a common pharmacological treatment for managing arthritis symptoms?

  • Antidepressants for emotional support
  • Steroidal medications to enhance energy levels
  • Antibiotics to fight infections
  • NSAIDS Anti-inflammatory medications to reduce pain and swelling (correct)

What is a significant psychosocial effect of osteoarthritis on patients?

  • Increased physical activity
  • Improved mental clarity
  • Heightened self-esteem
  • Altered body image (correct)

Which of the following assessment techniques is commonly used to evaluate joint pain in osteoarthritis?

  • MRI focused on muscular injuries
  • Assessing lung function tests
  • CT imaging of the abdominal area
  • Joint mobility evaluation and history taking (correct)

What is the correct role of erythrocyte sedimentation rate (ESR) in osteoarthritis management?

<p>Measuring inflammation levels (A)</p> Signup and view all the answers

Which of the following interventions is considered non-pharmacological for managing osteoarthritis pain?

<p>Joint positioning (D)</p> Signup and view all the answers

Which medication is categorized as a non-steroidal anti-inflammatory drug (NSAID) for osteoarthritis treatment?

<p>Ibuprofen (D)</p> Signup and view all the answers

What is a common physical symptom indicative of osteoarthritis that patients may display?

<p>Crepitus of the joint (D)</p> Signup and view all the answers

What is the primary goal of therapeutic interventions for patients with osteoarthritis?

<p>Managing chronic pain and improving quality of life (B)</p> Signup and view all the answers

In preparation for joint surgery for osteoarthritis, what is a common preoperative requirement?

<p>Preoperative shower with antiseptic soap (A)</p> Signup and view all the answers

What is the primary reason for using an abduction pillow post-surgery?

<p>To remind the client to keep their legs abducted (B)</p> Signup and view all the answers

Which of the following is an essential intervention to prevent venous thromboembolism post-operatively?

<p>Encourage early ambulation and exercise (B)</p> Signup and view all the answers

Which medication is commonly prescribed as an anticoagulant for post-surgical patients?

<p>Enoxaparin (B)</p> Signup and view all the answers

What is a key component of performing a neurovascular assessment post-surgery?

<p>Comparing the operative leg with the nonoperative leg (A)</p> Signup and view all the answers

Which action should be taken when assisting a patient to get out of bed post-surgery?

<p>Use a gait belt and stand on the side of the affected leg (B)</p> Signup and view all the answers

What is a common recommendation regarding weight bearing with a non-cemented prosthesis?

<p>Toe touch weight bearing initially, advancing as healing occurs (D)</p> Signup and view all the answers

What should be monitored every 4 hours for the first 24 hours post-surgery?

<p>Surgical incision for signs of infection (A)</p> Signup and view all the answers

Which of the following techniques is recommended to manage post-operative pain?

<p>Apply ice packs to the incision site (A)</p> Signup and view all the answers

What are common signs observed during the physical assessment of a patient with osteoarthritis?

<p>Crepitus of the joint and muscle atrophy (B)</p> Signup and view all the answers

Which intervention is primarily used in the management of chronic pain associated with osteoarthritis?

<p>Topical drug applications and NSAIDs (A)</p> Signup and view all the answers

What is a primary psychosocial concern for patients suffering from osteoarthritis?

<p>Altered body image and anxiety (D)</p> Signup and view all the answers

Which assessment would provide the best indication of joint inflammation in a patient with osteoarthritis?

<p>Erythrocyte Sedimentation Rate (ESR) (B)</p> Signup and view all the answers

Which non-pharmacological intervention is recommended for managing osteoarthritis pain?

<p>Weight control and joint positioning (A)</p> Signup and view all the answers

In assessing the impact of osteoarthritis on daily living, which aspect is crucial to evaluate?

<p>How pain has affected activities of daily living (ADL) (C)</p> Signup and view all the answers

Which surgical intervention is primarily performed for severe osteoarthritis symptoms?

<p>Total joint replacement (B)</p> Signup and view all the answers

What factor should be considered before surgery in osteoarthritis patients with anemia?

<p>Prophylactic administration of epotin alfa (D)</p> Signup and view all the answers

What is the purpose of using bilateral sequential compression devices post-operatively?

<p>To prevent venous thromboembolism (B)</p> Signup and view all the answers

What should be avoided in patients who had a posterior surgical approach following hip surgery?

<p>Avoid flexing hips to 90 degrees (D)</p> Signup and view all the answers

Why is early ambulation encouraged after surgery?

<p>To prevent venous thromboembolism (A)</p> Signup and view all the answers

Which medication is appropriate for anticoagulant therapy after surgery?

<p>Enoxaparin (C)</p> Signup and view all the answers

What is an important aspect of monitoring a surgical incision post-surgery?

<p>Observing changes in color or warmth (C)</p> Signup and view all the answers

What is the main reason for the use of an abduction pillow after hip surgery?

<p>To keep the legs abducted and maintain hip alignment (D)</p> Signup and view all the answers

During a neurovascular assessment, what should be compared?

<p>The operative leg with the non-operative leg (D)</p> Signup and view all the answers

Which of the following instructions is crucial when assisting a patient to get out of bed?

<p>Use a gait belt for safety (D)</p> Signup and view all the answers

What type of weight-bearing is typically allowed for a non-cemented prosthesis?

<p>Toe touch weight bearing initially (D)</p> Signup and view all the answers

What is a common psychosocial consideration for patients with advanced arthritis?

<p>Potential role changes in family or workplace dynamics (A)</p> Signup and view all the answers

Flashcards

Arthritis Nursing Roles

Nursing roles in arthritis care focus on patient assessment, education, medication management, and support.

Connective Tissue Disorders

Conditions affecting tissues like ligaments, tendons, cartilage, and skin.

Diagnostic Tests in Arthritis

Lab tests assess inflammation, joint damage, and specific autoimmune responses to diagnose arthritis.

Arthritis Nursing Care

Includes pain management, joint protection, exercise, and patient education.

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Pharmacological Arthritis Treatment

Medications like NSAIDs, disease-modifying antirheumatic drugs (DMARDs), and corticosteroids treat symptoms and slow disease progression.

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Osteoarthritis

A type of arthritis where cartilage in joints wears down, causing bone-on-bone friction, leading to pain, stiffness, and limited mobility.

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Common Osteoarthritis Symptoms

Common symptoms include pain, especially after activity, stiffness, especially in the morning, swelling in the affected joint, and decreased range of motion.

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What is Crepitus?

A crackling or grating sound in the joint, often felt and heard, caused by rough bone surfaces rubbing against each other.

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How does Osteoarthritis affect muscles?

Muscle atrophy, or wasting, occurs due to lack of use and pain, leading to weaker muscles and further mobility limitations.

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Why assess ADLs?

Assessing activities of daily living (ADLs) helps understand how osteoarthritis affects the patient's daily life and identify areas needing support.

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What are NSAIDs?

Nonsteroidal anti-inflammatory drugs (NSAIDs) reduce pain and inflammation, common options include ibuprofen and naproxen.

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What is total joint replacement?

A surgical procedure where a damaged joint is replaced with an artificial one, often used for hips, knees, and shoulders.

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Why is pre-op care important?

Pre-operative care involves educating the patient about the procedure, ensuring they understand the post-operative plan, and preparing them for surgery.

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Post-op THA complication

Venous thromboembolism (VTE) is a serious complication that can occur after total hip arthroplasty (THA).

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Pre-op THA antibiotic

A cephalosporin antibiotic is typically administered one hour before the THA procedure.

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THA Surgical Approach

Hip replacement surgery can use either a posterior or anterior approach.

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Post-op THA Leg Positioning

After a posterior THA, avoid hip flexion to 90 degrees; after an anterior THA, avoid hip hyperextension and external rotation.

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VTE Prevention

To prevent VTE after THA, use sequential compression devices (SCDs) or antiembolism stockings, administer anticoagulants, and encourage early ambulation.

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Post-op THA Neurovascular Assessment

Monitor the patient's neurovascular status by checking color, temperature, pulses, capillary refill, movement, and sensation in the affected leg.

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Post-op THA Pain Management

Manage pain with ice, epidural morphine, patient-controlled analgesia (PCA), and oral opioids.

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Post-op THA Mobility

Encourage early ambulation, avoid twisting and crossing legs, and use assistive devices as needed.

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Assessment of Osteoarthritis

Includes a thorough history, physical examination, and psychosocial assessment. It involves evaluating pain levels, joint movement, muscle strength, and mental health impacts.

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Crepitus in Osteoarthritis

A crackling or grating sound in the joint, caused by rough bone surfaces rubbing against each other, a common symptom of osteoarthritis.

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Muscle Atrophy in Osteoarthritis

Wasting or decrease in muscle size due to lack of use and pain, further impacting mobility.

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Non-Surgical Management of Osteoarthritis

Includes pain relief with medications (NSAIDs, acetaminophen), physical therapy (exercise, heat/cold application), and weight management.

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Surgical Management of Osteoarthritis

Involves replacing damaged joints with artificial ones (total joint replacement), primarily for hips, knees, and shoulders.

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Pre-Operative Care for Joint Replacement

Includes educating the patient about the procedure, ensuring they understand the post-operative plan, and preparing them for surgery, like showering with special soap.

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Post-Operative Care for Joint Replacement

Focuses on pain management, preventing complications like blood clots, and promoting early mobility to improve recovery.

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What is a THA?

Total hip arthroplasty (THA) is a surgical procedure to replace a damaged hip joint with an artificial one.

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Why is pre-op antibiotic important for THA?

A cephalosporin antibiotic is given one hour before THA surgery to prevent infection.

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What are some THA post-op complications?

Venous thromboembolism (VTE) is a serious risk after THA. It's a blood clot that travels to the lungs.

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How to prevent VTE?

To prevent VTE, use compression devices, wear antiembolism stockings, take anticoagulants, and encourage early ambulation.

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What are some post-op THA pain management methods?

Ice, epidural morphine, PCA (patient-controlled analgesia), and oral opioids are used to manage pain after THA surgery.

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What are some non-surgical treatments for osteoarthritis?

Medications like NSAIDs and acetaminophen, physical therapy, and weight management are non-surgical ways to treat osteoarthritis.

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What are some surgical treatments for osteoarthritis?

Total joint replacement (like THA) is a surgical option for osteoarthritis, especially in hips, knees, and shoulders.

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Study Notes

Purpose of Laboratory and Diagnostic Tests for Arthritis and Connective Tissue Disorders

  • To identify specific types of arthritis and connective tissue diseases.
  • To monitor disease activity and response to treatment.
  • To detect complications or comorbidities.
  • To differentiate between various forms of arthritis.

Nursing Roles and Responsibilities in Laboratory and Diagnostic Tests

  • Ordering, performing, and interpreting diagnostic tests, following facility protocols accurately.
  • Educating clients about test procedures, risks, and benefits, addressing anxieties.
  • Ensuring informed consent is obtained.
  • Obtaining and preparing specimens accurately as per lab protocol.
  • Reporting test results to the healthcare team and relaying test results in a timely fashion.
  • Monitoring clients for adverse reactions to tests and promptly managing them.

Nursing Care for Clients with Arthritis

  • Assessing for pain, stiffness, functional limitations, and impact on daily activities.
  • Educating clients about disease management, including medication, rest, exercise, activity modification, and nutrition.
  • Promoting joint protection strategies.
  • Providing emotional support to cope with chronic pain and disability, addressing anxieties and concerns.
  • Monitoring for complications and exacerbations of arthritis.
  • Collaborating with the multidisciplinary team to develop individualized care plans.
  • Encouraging participation in self-care activities.

Nursing Care for Clients with Connective Tissue Disorders

  • Assessing for systemic manifestations and potential complications, closely monitoring related organ systems.
  • Monitoring for cardiovascular, respiratory, renal, and other organ system complications.
  • Educating clients about disease management and preventing complications.
  • Emphasizing the importance of regular follow-up appointments.
  • Providing emotional support and a safe environment.
  • Collaborating with the interprofessional team.

Pharmacological Treatments for Arthritis and Connective Tissue Disorders

  • Nonsteroidal anti-inflammatory drugs (NSAIDs): Reduce pain and inflammation.
  • Disease-modifying antirheumatic drugs (DMARDs): Slow disease progression, improve functional ability. Examples include methotrexate, sulfasalazine.
  • Biologics: Target specific immune components mediating inflammation. Examples include TNF inhibitors, IL-1 inhibitors.
  • Corticosteroids: Reduce inflammation and pain, but use cautiously due to potential side effects.
  • Analgesics: Provide pain relief.
  • Symptomatic treatments (e.g., muscle relaxants): For specific symptoms.

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Description

This quiz focuses on the purpose of laboratory and diagnostic tests for arthritis and connective tissue disorders, as well as nursing roles and responsibilities in managing patients. It also covers essential aspects of nursing care for clients with arthritis, including assessment and treatment approaches. Test your knowledge on this critical topic in nursing practice.

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