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Which tests helps determine the severity of osteoarthritis abs plan the course of treatment?
CT scan and MRI
Which condition is a complication of gout?
Which clinical manifestation is associated with osteoarthritis?
Crepitation in weight bearing joints
Which term refers to the joint changes associated with osteoarthritis?
Which definition describes osteoarthritis?
Degeneration of articular cartilage in synovial joints
What findings are associated with stage 3 RA?
Extensive cartilage loss on x-Ray
The nurse reviews the diagnostic results of a patient with RA and expects which findings?
High CRP, increased ESR, increased WBC of synovial fluid
Which activity helps to protect the joints for a patient who has OA of the knees?
Eat a well balanced diet to maintain healthy body weight
Which interventions will the nurse include in the plan of care for a patient with gout?
Provide warm compresses
Decrease joint mobilization
Encourage increased oral water intake
Are spinach, mushrooms, and cauliflower rich in purines?
OA is more common with aging, but usually it remains confined to a few joints and does not cause crippling.
The nurse will suggest which action for a patient with OA?
Participate in PT activities
Which diagnosis does the nurse expect for a patient with fever who reports fatigue, joint pain, and stiffness, especially in the morning lasting about 3 hrs?
Orange urine occurs
Which instructions will the nurse include when teaching a group of adults about prevention of OA?
Eat a balance diet
Avoid smoking cigs
Maintain healthy weight
Which actions help reduce the risk of osteoarthritis?
Avoid repetitive, forceful movements
Maintain healthy BMI
Which explanation will the nurse provide about the importance of a low purine diet for a patient with gout?
The metabolism of purine results in the formation of uric acid
Which patient statement indicates the need for further teaching about management of OA?
"A cold shower in the morning will help relieve the stiffness I have when I get up."
Which medication therapy may be initiated for a patient receiving long term NSAID therapy for OA who develops GI bleeding and erosion?
Which explanation will the nurse provide for a patient with OA of the knees who tells the nurse that celecoxib 200 mg they have been taking q12 hrs does not seem to work as well as it used to in controlling the pain?
"You may respond better to an alternate NSAID."
Which assessment finding may be related to OA?
Joint stiffness after rest; stiffness usually subsides 30 minutes after activity is resumed
Which alternative therapies will the nurse suggest for a patient with RA?
Use of a firm mattress
Transcutaneous electrical nerve stimulation
For which parameters will the nurse monitor in a patient who is taking systemic hydrocortisone for the treatment of arthritis?
Report persistent headaches
Take with food or milk
Report tarry stools or bruising
Taken if can't tolerate other NSAIDS
Which lab findings are associated with both RA and OA?
Narrowed joint space on x-Ray exam
Use effective contraception during and 3 months after treatment
The nurse will inform a patient who has been prescribed topical diclofenac sodium to take which precautions with its use?
Avoid exposure to sunlight
Don't coadminister with oral aspirin
Which synovial fluid analysis findings are suggestive of RA?
Presence of fibrin flecks
Increased MMP-3 enzyme
Which questions will the nurse ask when assessing a patient with RA?
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