Medical-Surgical RN B
Rank in order the sequence of events leading to joint destruction in sec ondary
osteoarthritis (OA) beginning with the effect of an injury to the cervical spine.
A. Exacerbation of abdominal tissue growth
B. Bony articular surfaces in joint exposed
C. Fragile, soft, dull joint cartilage develops
D. Irregular joint motion, stiffness, and pain:
ANS C. Fragile, soft, dull joint cartilage develops A. Exacerbation of abdominal
tissue growth
D. Irregular joint motion, stiffness, and pain
B. Bony articular surfaces in joint exposed
A precipitating factor, such as trauma to the spine, leads to the development of OA
by damaging the cartilage. Joint destruction begins with the development of dull,
soft, less elastic, and more fragile cartilage. Because the body is unable to repair the
cartilage fast enough, the cartilage develops fissures and erosion and, in so doing,
becomes thinner, leading to the formation of osteophytes and cartilage at the joint
margins. The formation of abnormal tissue leads to abnormal joint movement. Pain
and stiffness increase as the bony surfaces of the joint are exposed.
Ch. 65 Pre-Assessment #1
The nurse is assessing a patient who is complaining of joint pain and stiff ness.
Which assessment does not differentiate between osteoarthritis (OA) and
rheumatoid arthritis (RA)?
A. Symmetry of joint effect
B. Duration of joint stiffness
C. Space between the bones
D. Erythrocyte sedimentation rate:
C. Space between the bones
Both OA and RA manifest with narrowed joint spaces so this is not a valid
Rank in order the sequence of events leading to joint destruction in sec ondary
osteoarthritis (OA) beginning with the effect of an injury to the cervical spine.
A. Exacerbation of abdominal tissue growth
B. Bony articular surfaces in joint exposed
C. Fragile, soft, dull joint cartilage develops
D. Irregular joint motion, stiffness, and pain:
ANS C. Fragile, soft, dull joint cartilage develops A. Exacerbation of abdominal
tissue growth
D. Irregular joint motion, stiffness, and pain
B. Bony articular surfaces in joint exposed
A precipitating factor, such as trauma to the spine, leads to the development of OA
by damaging the cartilage. Joint destruction begins with the development of dull,
soft, less elastic, and more fragile cartilage. Because the body is unable to repair the
cartilage fast enough, the cartilage develops fissures and erosion and, in so doing,
becomes thinner, leading to the formation of osteophytes and cartilage at the joint
margins. The formation of abnormal tissue leads to abnormal joint movement. Pain
and stiffness increase as the bony surfaces of the joint are exposed.
Ch. 65 Pre-Assessment #1
The nurse is assessing a patient who is complaining of joint pain and stiff ness.
Which assessment does not differentiate between osteoarthritis (OA) and
rheumatoid arthritis (RA)?
A. Symmetry of joint effect
B. Duration of joint stiffness
C. Space between the bones
D. Erythrocyte sedimentation rate:
C. Space between the bones
Both OA and RA manifest with narrowed joint spaces so this is not a valid
