Introduction to Osteoarthritis Question with 100 % correct answers | Verified

Analyzing Cues - Osteoarthritis is a chronic, localized condition that is progressively debilitating. The main characteristic is pain with degenerative changes. It primarily attacks larger joints asymmetrically. There are no extra-articular symptoms associated with this condition. The onset of osteoarthritis symptoms are worst between 60 and 75. If left untreated, joint destruction, can occur from continued mechanical injury can lead to permanent immobility and chronic pain. hich statement describes the primary cause of osteoarthritis? Joint destruction from excessive used caused by intrinsic and environmental factors. A genetic variation that causes bone and muscle weakness. Autoimmune condition that attacks small joints. An erosive process that causes joint inflammation. - Joint destruction from excessive used caused by intrinsic and environmental factors. Osteoarthritis is caused by excessive use caused by intrinsic and environmental factors. Rheumatoid arthritis is an autoimmune condition that attacks small joints and causes erosive joint inflammation. A genetic variation that causes bone and muscle weakness is not caused by osteoarthritis. Mary is being transferred to a rehabilitation unit today. She can pivot transfer from a bed to a wheelchair with assistance. She has been having pain of 5/10 even after pain medication two hours ago. Her dressing is dry and intact with no drainage. Occupational therapy has not been able to see the patient yet. Vital signs: T=98.6, blood pressure 120/68, pulse 95, oxygen saturation 96% on room air. Review the nursing discharge note and check if the goal is being met at this time or check whether further follow-up is required before the transfer. - Goal Addressed Impaired physical mobility Impaired tissue integrity Not Addressed Acute pain Self-care deficitPatient's physical therapist has taught transfer techniques and will continue treatment in rehabilitation unit. The pain does not appear to be controlled at this time and requires further nursing action. The surgical incision appears to be normal and healing well. The patient has not seen the occupational therapist, which should be done before discharge. n analyzing the patient record, which assessment items are consistent with degenerative joint disease caused by osteoarthritis? Select all that apply. Unilateral joint pain Erythema Edema Joint deformity Crepitus - Unilateral joint pain joint deformity crepitus Osteoarthritis can present to joint pain, deformity, and crepitus. Erythema and edema are only usually present after significant overuse. Nurses Progress Note: At 1400, Linda is voicing pain in right knee. Vitals: BP-152/88, P-102, R-22. Oxygen saturation 96%. She describes it as a soreness with intermittent throbbing. The nurse asks her to identify her pain on a numeric pain scale, which she describes as 5/10. Which prescribed medication would have the least likelihood of adverse effects? Celecoxib 200mg PO twice daily Diclofenac 1% gel 4 grams four times daily Morphine 4mg IV q2 hours for severe pain Ibuprofen 1000mg PO every 6 hours - Diclofenac 1% gel 4 grams four times dailyThe topical gel has the best safety profile because it is localized, topical, and has limited side effects compared to the other medications. Morphine can cause respiratory depression. Ibuprofen can cause gastritis. Celecoxib has fewer side effects but is not as safe as the diclofenac gel. Nursing Actions - Osteoarthritis - Orders Nursing diagnosis Physical therapy referral Impaired physical mobility Oxycodone/apap Acute pain Dressing changes Impaired tissue integrity Occupational health referral Self-care deficit