Chapter 43: Arthritis

Question 1

imaging studies for person with osteoarthritis

Answer 1

Xray , MRI

Question 2

early stage of osteoarthritis

Answer 2

In the early stage of osteoarthritis, the cartilage changes from a bluish-white
translucent color to an opaque and yellowish-brown.

Question 3

what is the drug of choice for treatment for osteoarthritis?

Answer 3

acetaminphen or nsaids.

Question 4

Crepitus

Answer 4

Crepitus is when cartilage disintegrates and pieces of
bone and cartilage float in the diseased joint.

Question 5

Bouchard nodes

Answer 5

are nodes at the joints caused by
bony hypertrophy.

Question 6

Glucosamine

Answer 6

Glucosamine may decrease inflammation

Question 7

chondroitin

Answer 7

chondroitin may strengthening cartilage.

Question 8

Diclofenac gel

Answer 8

Diclofenac is a topical NSAID recommended for relief of pain for knee
osteoarthritis. The nurse reminds patients to avoid heat application to any area where the gel is applied and instructs patients that it will take at least 2 weeks before the gel is effective for pain relief.

Question 8

key difference in OA and RA

Answer 8

OA is unilateral and usually affects a single joint, whereas RA is bilateral and
affects multiple joints; this statement by the patient indicates the need for
further teaching. RA is indeed an inflammatory process, while OA is a
degenerative process.

Question 9

life threatening complications from total hip anthroplasty

Answer 9

The life-threatening and commonly occurring complication after total hip arthroplasty is VTE, which includes deep vein thrombosis (DVT) and pulmonary embolism (PE).

Question 10

what shouldnt a patient do after total hip arthroplasty?

Answer 10

After total hip arthroplasty, the patient should not cross the legs, even to put
on shoes.

Question 11

late s/sx of RA

Answer 11

morning stiffness

Question 12

symptom of new onset of RA

Answer 12

fatigue, anorexia and fever.

Question 13

what causes RA?

Answer 13

Rheumatoid arthritis occurs because the body’s immune system is attacking
the joints, causing damage to the joints and bones.

Question 14

Methotrexate 1mg

Answer 14

Methotrexate, an immunosuppressive drug, is administered in a low dose once a week and is the mainstay of therapy for patients with RA.

Question 15

Sulfasalazine

Answer 15

Sulfasalazine, a sulfa drug, is often prescribed in combination with other drugs to reduce inflammation such as RA.

Question 16

Arthrocentesis

Answer 16

Arthrocentesis is an invasive procedure that aspirates synovial fluid. Fluid from patients with RA typically reveals WBCs, increased fluid, and cloudiness.

Question 17

late stage of systemic RA

Answer 17

Deformities, osteoporosis, severe fatigue, and peripheral neuropathy are the
late systemic manifestations of RA.

Question 18

Hydroxychloroquine treatment for RA can cause.

Answer 18

Hydroxychloroquine is used to decrease the immune response in patients with rheumatoid arthritis. However, its use can lead to retinal damage.

Question 19

Anakinra can cause…

Answer 19

Anakinra is an
immunosuppressant to treat RA, patients are prone to infections. Therefore patients should avoid people with infections and large crowds. Monitoring the
injection site is necessary because there is a chance of developing a reaction at the site.

Question 20

what is Subluxation?

Answer 20

life threatening condition of partial dislocation of a joint causing pain and quadriplegia, this can happen to people with RA.

Question 21

Methotrexate

Answer 21

Methotrexate is an immunosuppressant medication that is used to decrease inflammation and therefore decrease pain in patients with rheumatoid
arthritis.

Question 22

Celecoxib

Answer 22

Treats joint pains.

Nursing teaching: report any major changes in the amount of urine excreted in a day.