RA & OA- EXAM 3

Question 1

Osteoarthritis

Answer 1

Most common, also known as DJD
Deterioration and loss of cartilage and bone in joints
Affects weight bearing joints, and nodes

Question 2

Risks for OA

Answer 2

Aging; wear and tear
Joint injury
Obesity
Repetitive stress to joints

Question 3

OA incidence

Answer 3

31million in USA
5th most common cause of disability worldwide

Question 4

OA health promotions

Answer 4

Maintain proper nutrition
Avoid injuries: proper lifting techniques
Stay active

Question 5

Recognizing cues of OA

Answer 5

History of joint pain
Persistent morning joint pain and stiffness ( goes away quickly )
Crepitus; cracking/grating sound of joints at movement

Question 6

OA Lab assessment

Answer 6

ESR: inflammation indicator
hsCRP: high sensitivity, indicated autoimmune disease

Slightly elevated or normal ESR and hsCRP levels so not a concrete indicator of Oa
Xray will tell for sure that its OA

Question 7

Implementations for OA

Answer 7

Managing pain
Early ambulation to prevent further stiffness and DVT
Want to prevent pneumonia from incubation and laying for hours

Question 8

Rheumatoid Arthritis

Answer 8

Chronic, progressive, systemic inflammatory autoimmune process
Affects synovial joints

Question 9

Risks for RA

Answer 9

Unknown, The body attacks itself
Combination of environmental and genetic factors
Physical and emotional factors are linked to exasterbations

Question 10

RA incidence

Answer 10

1.5 million people
More common in Euro-american people and 2-3 times more likely in women than men

Question 11

Recognizing cues of RA

Answer 11

History of acute and severe or slow and progressive
Joint and systemic symptoms: fever, aching, swelling
Generalized weakness and fatigue
Morning stiffness that lasts longer then 1 hour

Question 12

RA Lab assessments

Answer 12

Everything, ANA, ESR, hsCRP will be high because go systemic!
Xrays, CT scan can be assessed as well

Question 13

Implementations for RA

Answer 13

Managing chronic inflammation and pain: NSAID’s
Promoting mobility

Question 14

Nurse is taking history of a 45 F
Reports ongoing fatigue, joint pain and difficulty moving in the morning

WHAT ASSESSMENT QUESTIONS SHOULD THE NURSE ASK

Answer 14

How long has this been happening
How long it takes her in the morning to begin fully moving
Ask about any weight loss or fevers
Ask if any specific joints hurt

Question 15

Primary healthcare provider prescribes Hydroxychoroquine

WHAT TEACHINGS WILL THE NURSE INCLUDE

Answer 15

Drug may take several months to become effective
Mild stomach discomfort, light headedness, or headaches are possible side effects
Most serious is renal damage
Report blurred vision or headache, have eye exam before taking meds and every 6 months after to detect for changes

Question 16

What teachings will the nurse provide to client prescribed methotrexate

Answer 16

It surpasses immune system so Fever and infection should be reported
Hair loss may occur
Folic acid may be given too to help decrease some side effects
Can cause birth defects if pregnant! Use methods of BC