Orthopedic Nursing Questions &
Answers 100% Correct!!
Osteoarthritis (OA) - ANSWERdegenerative joint disease; most common joint
disorder.
combination of carilage degradation, bone stifening, and inflammation of the
synovium
causes pain and functional impairment
joints feel wrose the more they are used throughout the day.
Modifiable Risk Factors of OA - ANSWERobesity
repeptitive use
Non-Modifiable Risk Factors for OA - ANSWERincreased age
female
previous joint damage
deformity
genetic susceptibility
Symptoms of OA - ANSWERDeep, aching joint pain, occurring especially after
exercise or weight-bearing; relieved with rest.
Joint pain during cold weather
Stiffness when arising in the morning
Crepitus of the joint during motion
Joint swelling
Altered gait
Limited range of motion
Muscle weakness around arthritic joints.
Over time, pain is present even when you are at rest
Pain that is worse when you start activities after a period of no activity.
Goals of Treatment of OA - ANSWERincrease the strength of the joints
maintain or improve joint movement
reduce the disabling effects of the disease
relieve pain
the treatment depends on which joints are involved
Lifestyle Recommendations for OA - ANSWERExercise helps maintain joint and
overall movement.
Water exercises
Applying heat and cold
Eating a healthy, balanced diet
Getting rest
, Losing weight if you are overweight
Protecting the joints
Diagnosis & Treatment of OA - ANSWERa physical exam may show:
-joint swelling (bones around the joints may feel larger than normal)
-limited ROM
-tenderness when the joint is pressed
-normal movement is often painful.
*no blood test are helpful in diagnosing OA
*an x-ray of affected joints will show a loss of join space.
*in advanced cases, there will be a wearing down of the ends of the bone and bone
spurs..
Medications for OA - ANSWEROTC pain relievers: Tylenol
NSAIDS: asprin, ibuprofen, and naproxen
Celebrex (a COX-2 inhibitor) may work as well as other NSAIDs
Corticosterioids injected right into the joint- relief lasts only a short time.
Supplements: glucosamine and chondroitin sulfate
Capsaicin (Zostrix): skin cream may help relieve pain; relief usually begins within 1-2
weeks.
Artificial joint fluid can be injected into knee. May relieve pain for 3-6 months.
Prognosis: Prevention of OA - ANSWERweight loss can reduce the risk of knee OA
in overweight women.
Osteoporosis - ANSWERA condition in which the body's bones become weak and
break easily.
"porous bone"
risks for osteoporosis - ANSWERage, gender, genetics, nutrition, and physical
activity
women are at increase risk due to small bone structure, low levels os testosterone
and low estrogen after menopause.
symptoms of osteoporosis - ANSWERno symptoms in the early stages
later symptoms include:
-bone pain or tenderness
-fractures with little or no trauma; one of the most common causes of hip fracture.
-loss of height over time
-low back pain due to fracture of the spinal bones
-neck pain due to fractures of the cervical bones.
-stooped posture
Medical Treatment for Osteoporosis - ANSWERcontrol pain from the disease
slow down or stop bone loss
prevent bone fractures with medications that strengthen bone
minimize the risk of fall that might cause fractures
Answers 100% Correct!!
Osteoarthritis (OA) - ANSWERdegenerative joint disease; most common joint
disorder.
combination of carilage degradation, bone stifening, and inflammation of the
synovium
causes pain and functional impairment
joints feel wrose the more they are used throughout the day.
Modifiable Risk Factors of OA - ANSWERobesity
repeptitive use
Non-Modifiable Risk Factors for OA - ANSWERincreased age
female
previous joint damage
deformity
genetic susceptibility
Symptoms of OA - ANSWERDeep, aching joint pain, occurring especially after
exercise or weight-bearing; relieved with rest.
Joint pain during cold weather
Stiffness when arising in the morning
Crepitus of the joint during motion
Joint swelling
Altered gait
Limited range of motion
Muscle weakness around arthritic joints.
Over time, pain is present even when you are at rest
Pain that is worse when you start activities after a period of no activity.
Goals of Treatment of OA - ANSWERincrease the strength of the joints
maintain or improve joint movement
reduce the disabling effects of the disease
relieve pain
the treatment depends on which joints are involved
Lifestyle Recommendations for OA - ANSWERExercise helps maintain joint and
overall movement.
Water exercises
Applying heat and cold
Eating a healthy, balanced diet
Getting rest
, Losing weight if you are overweight
Protecting the joints
Diagnosis & Treatment of OA - ANSWERa physical exam may show:
-joint swelling (bones around the joints may feel larger than normal)
-limited ROM
-tenderness when the joint is pressed
-normal movement is often painful.
*no blood test are helpful in diagnosing OA
*an x-ray of affected joints will show a loss of join space.
*in advanced cases, there will be a wearing down of the ends of the bone and bone
spurs..
Medications for OA - ANSWEROTC pain relievers: Tylenol
NSAIDS: asprin, ibuprofen, and naproxen
Celebrex (a COX-2 inhibitor) may work as well as other NSAIDs
Corticosterioids injected right into the joint- relief lasts only a short time.
Supplements: glucosamine and chondroitin sulfate
Capsaicin (Zostrix): skin cream may help relieve pain; relief usually begins within 1-2
weeks.
Artificial joint fluid can be injected into knee. May relieve pain for 3-6 months.
Prognosis: Prevention of OA - ANSWERweight loss can reduce the risk of knee OA
in overweight women.
Osteoporosis - ANSWERA condition in which the body's bones become weak and
break easily.
"porous bone"
risks for osteoporosis - ANSWERage, gender, genetics, nutrition, and physical
activity
women are at increase risk due to small bone structure, low levels os testosterone
and low estrogen after menopause.
symptoms of osteoporosis - ANSWERno symptoms in the early stages
later symptoms include:
-bone pain or tenderness
-fractures with little or no trauma; one of the most common causes of hip fracture.
-loss of height over time
-low back pain due to fracture of the spinal bones
-neck pain due to fractures of the cervical bones.
-stooped posture
Medical Treatment for Osteoporosis - ANSWERcontrol pain from the disease
slow down or stop bone loss
prevent bone fractures with medications that strengthen bone
minimize the risk of fall that might cause fractures
