ORTHOPEDIC NURSING QUESTIONS
AND CORRECT ANSWERS
Osteoarthritis (OA) - ANS -degenerative 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 - ANS -obesity
repeptitive use
Non-Modifiable Risk Factors for OA - ANS -increased age
female
previous joint damage
deformity
genetic susceptibility
Symptoms of OA - ANS -Deep, 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 - ANS -increase 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 - ANS -Exercise 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 - ANS -a 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 - ANS -OTC 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 - ANS -weight loss can reduce the risk of knee OA in overweight
women.
Osteoporosis - ANS -A condition in which the body's bones become weak and break easily.
"porous bone"
risks for osteoporosis - ANS -age, 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 - ANS -no symptoms in the early stages
AND CORRECT ANSWERS
Osteoarthritis (OA) - ANS -degenerative 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 - ANS -obesity
repeptitive use
Non-Modifiable Risk Factors for OA - ANS -increased age
female
previous joint damage
deformity
genetic susceptibility
Symptoms of OA - ANS -Deep, 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 - ANS -increase 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 - ANS -Exercise 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 - ANS -a 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 - ANS -OTC 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 - ANS -weight loss can reduce the risk of knee OA in overweight
women.
Osteoporosis - ANS -A condition in which the body's bones become weak and break easily.
"porous bone"
risks for osteoporosis - ANS -age, 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 - ANS -no symptoms in the early stages
