Maryville NURS 640 Exam 3 Part 2 questions with correct answers

Maryville NURS 640 Exam 3 Part 2 questions with
correct answers
osteoarthritis Correct Answer-Most common form of arthritis


•
Increased age
-
> 45, particularly by 70's
•
Female gender, post
-
menopausal
•
Obesity increases risk
threefold
•
Family history
•
Repeated trauma Correct Answer-OA risk factors include:


systemic inflammation & knee Correct Answer-OA is generally NOT
associated with
---------- and the ------- is the most common area to be affected

,-
Pain most prominent symptom
-
Insidious onset
-
Generally limited to joint(s)
-
"Aching
" pain worsened with joint use
-
Stiffness with inactivity, morning
-
One or few joints involved (diff dx) Correct Answer-S&S of OA
include:


< 2000 cells /
mcL
(if
done) Correct Answer-Joint fluid WBC for OA is:


Topical NSAIDs
-

,Acetaminophen first line oral
-
Oral NSAIDS: OTC or prescribed
•
COX1 and COX2 vs. selective COX2
•
Consider gastric acid reduction / protection therapy
•
Monitor renal baseline and toxicity
•
Permeant platelet inhibition
-
bleeding risk Correct Answer-Pharmacotherapy for OA includes


Rheumatoid arthritis Correct Answer-Chronic, systemic inflammatory
disease
•
Primarily targets synovial tissues
•
Higher risk of coronary artery disease and
heart failure
•
Untreated results in joint destruction and

, reduced life
expectancy
•
Early and aggressive treatment


Women > men
•
Risk increases with age
-
Uncommon for men to present age < 45
-
Prevalence in women
plateaus
~ age 60 Correct Answer-Risk factors for RA


Anti
-
CCP antibodies highest specificity
-
Rheumatoid factor (less specific)
-
20% can be antinuclear antibody negative
-