Medical-Surgical B
Rank in order the sequence of events leading to joint destruction in secondary
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 – 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<\/p>\n\n\n\n
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 stiffness.
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<\/p>\n\n\n\n
Both OA and RA manifest with narrowed joint spaces so this is not a valid
assessment to help differentiate between the two disorders. The remaining
options are patient assessments that facilitate differentiation of OA and RA
because symmetric joints are affected in RA but not in OA; stiffness resolves in
less than 30 minutes with OA but not RA; and a patient with RA, but not OA, is
likely to have elevated erythrocyte sedimentation levels indicating inflammation.
Ch. 65 Pre-Assessment #2
A 75-year-old female patient complains about morning stiffness and increasing
joint pain in her right hip. What is the best initial drug therapy for her?
A. aspirin
B. naproxen (Aleve)
C. ibuprofen (Motrin)
D. acetaminophen (Tylenol) – D. acetaminophen (Tylenol)<\/p>\n\n\n\n
For patients with osteoarthritis who have mild to moderate pain, the initial drug of
choice is acetaminophen.
Ch. 65 Pre-Assessment #3
Which of the following laboratory values would probably be found in a patient
with osteoarthritis (OA)?
A. Decreased RBCs
B. Increased WBCs
C. Clear yellow synovial fluid
D. Increased C-reactive protein
E. Increased erythrocyte sedimentation rate – C. Clear yellow synovial fluid
Normally there are no laboratory abnormalities or biomarkers for OA. Clear yellow
fluid is normal synovial fluid.
Ch. 65 Pre-Assessment #4<\/p>\n","protected":false},"excerpt":{"rendered":"
Medical-Surgical BRank in order the sequence of events leading to joint destruction in secondaryosteoarthritis (OA) beginning with the effect of an injury to the cervical spine.A. Exacerbation of abdominal tissue growthB. Bony articular surfaces in joint exposedC. Fragile, soft, dull joint cartilage developsD. Irregular joint motion, stiffness, and pain – C. Fragile, soft, dull joint […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115973","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115973"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115973\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}