Osteoporosis and Osteoarthritis

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Questions and Answers

What is the major role of nurses related to osteoporosis?

Diagnosis and surgery

Physical therapy

Medication prescription

Prevention, assessment, and teaching (correct)

Which are the most common sites of fracture associated with osteoporosis?

Knee, ankle, and shoulder

Hip, spine, and wrist (correct)

Shoulder, ankle, and hip

Elbow, neck, and foot

Who is commonly thought to be affected by osteoporosis and fractures?

Elderly men

Infants

Post-menopausal women (correct)

Teenage boys

What is the characteristic of osteoporosis?

Low bone mass or density and structural deterioration of bone tissue Signup and view all the answers

What determines bone density?

Peak bone mass and the amount of bone loss Signup and view all the answers

In which settings are patients with osteoporosis or low bone mass generally treated?

Outpatient settings Signup and view all the answers

What can lead to osteoporosis at younger ages?

Poor nutrition, underlying disease, prolonged immobility, and extreme exercise leading to amenorrhea Signup and view all the answers

Which drug is the drug of choice for people with gout due to 'overproduction' of uric acid?

Allopurinol Signup and view all the answers

What is the only antigout drug with anti-inflammatory effects?

Colchicine Signup and view all the answers

Why should people with hypersensitivity to aspirin not take NSAIDs?

Due to the risk of cross-sensitivity to other antiprostaglandin drugs Signup and view all the answers

What is indicated to prevent upper GI bleeding with chronic use of nonselective NSAIDs?

Gastroprotective drugs such as antacids, H2 blockers, and proton pump inhibitors Signup and view all the answers

What is the BLACK BOX WARNING associated with meloxicam?

Patients who take meloxicam are at risk for cardiovascular events and GI bleeding Signup and view all the answers

What is the effect of probenecid in treating people with gout?

Effective in treating people with gout who 'underexcrete' uric acid Signup and view all the answers

What is the recommended fluid intake during treatment for gout to prevent renal calculi?

2000 mL/d Signup and view all the answers

What is the risk associated with taking NSAIDs for chronic use?

Upper GI bleeding Signup and view all the answers

What is the role of gastroprotective drugs in relation to NSAID use?

To prevent upper GI bleeding Signup and view all the answers

What is the role of allopurinol in the treatment of gout?

Inhibits the synthesis of uric acid Signup and view all the answers

What is the primary cause of functional impairment in osteoarthritis?

Pain and limited motion due to structural joint changes Signup and view all the answers

What is the primary focus of nursing assessment for osteoarthritis?

Patient history and physical assessment of tender and enlarged joints Signup and view all the answers

What is the primary cause of gout?

Disorder of purine metabolism Signup and view all the answers

What is the initial manifestation of clinical gout?

Acute episode of intense, painful arthritis Signup and view all the answers

What is influential in decreasing the risk of acute gout episodes and long-term complications?

Teaching self-care measures Signup and view all the answers

What is the recommended approach for nursing management of osteoarthritis?

Nonpharmacological and pharmacologic approaches Signup and view all the answers

What is the primary cause of deposits of urate crystals in joint spaces in gout?

Hyperuricemia with elevated plasma uric acid concentrations Signup and view all the answers

What are common signs and symptoms of osteoporosis?

Fractures, kyphosis, decreased calcitonin and estrogen, and increased parathyroid hormone Signup and view all the answers

Which type of osteoporosis affects women after menopause?

Primary Signup and view all the answers

What are the nursing interventions for osteoarthritis?

Pain management, promoting joint mobility, and patient education on lifestyle modifications Signup and view all the answers

What is the most common form of arthritis?

Osteoarthritis Signup and view all the answers

What is the focus of osteoporosis treatment?

Calcium and vitamin D supplementation, bisphosphonates, and prevention of fractures Signup and view all the answers

What factors contribute to osteoarthritis?

Increased age, obesity, previous joint damage, and repetitive use Signup and view all the answers

What is the impact of osteoarthritis on the quality of life?

Significant impact, especially in elderly patients Signup and view all the answers

Study Notes

Osteoporosis and Osteoarthritis: Key Facts and Nursing Interventions

Osteoporosis can be classified into primary and secondary types, affecting women after menopause and men later in life, respectively
Common signs and symptoms of osteoporosis include fractures, kyphosis, decreased calcitonin and estrogen, and increased parathyroid hormone
Nursing interventions for osteoporosis involve patient education, risk assessment, fall prevention strategies, and promoting adherence to medication and lifestyle changes
Treatment of osteoporosis focuses on calcium and vitamin D supplementation, bisphosphonates, and prevention of fractures
Osteoarthritis is the most common form of arthritis and is often described as 'wear and tear' or degenerative arthritis
Osteoarthritis is classified into primary (idiopathic) and secondary (resulting from joint injury or inflammatory disease)
Pathophysiology of osteoarthritis involves mechanical injury, chondrocyte response, release of cytokines, stimulation of enzymes, and resulting damage
Factors contributing to osteoarthritis include increased age, obesity, previous joint damage, and repetitive use
Osteoarthritis primarily affects weight-bearing joints and commonly presents with pain and stiffness
Nursing interventions for osteoarthritis include pain management, promoting joint mobility, and patient education on lifestyle modifications
Osteoarthritis can have a significant impact on the quality of life, especially in elderly patients
Proper understanding and management of osteoporosis and osteoarthritis are crucial for promoting bone health and improving patient outcomes

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Description

Test your knowledge about osteoporosis and osteoarthritis with this quiz covering key facts and nursing interventions. Explore the classifications, signs and symptoms, nursing interventions, treatment options, and impact on quality of life for both conditions. Gain insights into promoting bone health and improving patient outcomes through proper understanding and management of these common skeletal disorders.