Osteoarthritis and Rheumatoid Arthritis: Diagnosis, Symptoms, and Management, Exams of Nursing

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ORTHO CERTIFICATION EXAM 2024/2025 What is a major difference between osteo and rheumatoid arthritis - Precise Answer ✔✔Osteoarthritis is local versus systemic Which test is used for diagnosing osteoarthritis - Precise Answer ✔✔X-rays Which describes joint crepitation - Precise Answer ✔✔Grating sound What is a presenting symptom of hip osteoarthritis - Precise Answer ✔✔Groin pain What is a Herberdens node - Precise Answer ✔✔Osteophyte formation Which of the following is often found in degenerative disc disease - Precise Answer ✔✔A normal physical exam Mrs. Rockwood is having more and more problems with her osteoarthritis her right shoulder and back have been really bothering her she enjoys housekeeping and takes pride in her clean house and is having difficulty getting it accomplished what would you suggest - Precise Answer ✔✔Space the cleaning out throughout the week cleaning one room Per day Mrs. Rockford is prescribed physical and occupational therapy is to help with her pain. What information should the nurse include in teaching? - Precise Answer ✔✔Take oral pain medication 45 minutes before your therapy session What is a management goal of osteoarthritis - Precise Answer ✔✔Maintain joint function and mobility What is an advantage of NSAIDS WITH COX2 selectivity - Precise Answer ✔✔Les G.I. toxicity Mrs. Myers a 57-year-old factory worker comes to the clinic complaining of right shoulder pain for two days. Denies trauma. Start of the day after she cleaned the kitchen cabinets. I sees her left hand to come her hair because of her pain. More bothersome at night and has had to sleep in a recliner for comfort. She's on Synthroid and has been on estrogen replacement for five years. She is prescribed NSAIDS what shows understanding - Precise Answer ✔✔I should take it with food An MRI is ordered what should be included in pretest teaching - Precise Answer ✔✔Remove all jewelry An MRI shows osteoarthritis and right shoulder what might be expected method of treatment - Precise Answer ✔✔Heat or ice If surgery becomes an indication for a shoulder what would be a treatment goal - Precise Answer ✔✔Improvement of function What is a surgical procedure for shoulder arthritis - Precise Answer ✔✔Hemi arthroplasty What is a consideration of a complication of Osteoarthritis - Precise Answer ✔✔Loss of joint function Mr. Baldwin has severe left shoulder arthritis related to repetitive heavy lifting at work. He wants conservative treatment not surgery. What is a likely treatment option for Mr. Baldwin - Precise Answer ✔✔Corticosteroid injections Which of the following will Mr. Baldwin likely need since is left is his dominant arm - Precise Answer ✔✔Therapy Mrs. Ray is a 62-year-old female admitted post shoulder arthroplasty the nurse is assisting her and placement of the sling how should the abduction sling be applied - Precise Answer ✔✔Across the hips and slightly forward How long should someone wear a sling after post shoulder arthroplasty - Precise Answer ✔✔4 to 6 weeks What is a safety issue for those with upper extremity surgery - Precise Answer ✔✔Ambulation. Because of balance A typical therapy of gold prior to discharge after a right total knee would be - Precise Answer ✔✔Muscle strengthening To establish a diagnosis of osteoporosis a DEXA a scan may be completed how will this show osteoporosis - Precise Answer ✔✔The bone density of the person will be compared to that of a healthy young adult and age matched adults Patient education regarding Actonel should include - Precise Answer ✔✔After taking this medication you should remain in an upright position for at least 30 minutes Bio phosphonate should be taken - Precise Answer ✔✔On an empty stomach 30 minutes before breakfast and then remain upright for at least 30 minutes If a patient has lactose intolerant they should be taught about non-dairy food sources of calcium what is a food source that has high calcium - Precise Answer ✔✔One cup of spinach If a mother has osteoporosis a 50-year-old daughter is at risk for this condition what factors place her at an increased risk - Precise Answer ✔✔Smoking cigarettes A 35-year-old patient that has intermittent swelling and pain in the joints of her hands feet and knees has been treating herself with non-steroid all anti-inflammatory drugs a friend who is a nurse suspects she might have rheumatoid arthritis based upon this early symptom - Precise Answer ✔✔Fatigue. Rheumatoid arthritis usually begins gradually accompanied by systemic manifestations such as anorexia weight loss fatigue muscle aching and stiffness joints most commonly affected our fingers and wrist knees and feet Bloodwork or labs that would likely be elevated during a rheumatoid arthritis flare up would include - Precise Answer ✔✔An elevation in ESR A newly diagnosed rheumatoid arthritis is typically given a non-steroid old anti-inflammatory drug and methotrexate because - Precise Answer ✔✔It will help maximize the control of inflammation One of the most common side effects of methotrexate occur in which body system - Precise Answer ✔✔Gastrointestinal Name the deformity th - Precise Answer ✔✔Boutonniere deformity's PIP joint - Precise Answer ✔✔Proximal interphalngeal D IP joint - Precise Answer ✔✔Distal interphalangeal joint Hyper extension of the PIP joint with flexion of the metacarpal phalangeal in D IP joints - Precise Answer ✔✔Swans neck deformity A patient who is on Coumadin after total knee what should the nurse instruct the patient about urine - Precise Answer ✔✔Report tea colored urine immediately A 12-year-old patient experiences and Epicondyler fracture and a long arm cast as applied if the cast needs to be splint after application to allow for tissue swelling the nurse will buy them of the cast by splitting it in which direction - Precise Answer ✔✔Medially and laterally The use of bucks traction is used to - Precise Answer ✔✔Minimize muscle spasms A patient is placed in the CPM machine following a total knee arthroplasty he nurse recognizes one benefit of the CPM is decreased - Precise Answer ✔✔Joint hemarthrosis Following application of a short arm cast the nurse will assess sensation and motion in the patient's digits numbness and tingling in between the thumb and index finger may indicate compromise of which nerve - Precise Answer ✔✔Radial A patient receiving Mitroxantrone for treatment of an exacerbation of MS the nurse should be aware - Precise Answer ✔✔The patient's urine may turn a blue green color and Initially A patient is diagnosed with osteoio osteoma The nurses able to confirm this is a benign tumor that - Precise Answer ✔✔Causes night paying that can be relieved by aspirin The most common primary malignant bone tumor and children is the - Precise Answer ✔✔Osteosarcoma greater occurrence in boys than girls A patient is diagnosed with slipped capital femoral epiphysis. The nurse recognizes this patient is at high- risk the normal of developing - Precise Answer ✔✔Degenerative arthritis Patient teaching for Osgood Schlatter disease - Precise Answer ✔✔Symptoms will stop by the end of skeletal growth this disease is self-limiting condition of preadolescence the symptoms stop when the epiphyses is fully ossified A type of implant that would be considered a biological implant - Precise Answer ✔✔An allograft bone Which of the following nerves may sustain injury when the patient is placed in a lateral position and there is an adequate padding under the fibular head - Precise Answer ✔✔Peroneal nerve The best way to evaluate balance is two says strength of the opposing muscle groups while using and performing what kind of measurement devices - Precise Answer ✔✔Isometric measuring devices Extreme involves - Precise Answer ✔✔Muscle or tendon trauma A sprain involves - Precise Answer ✔✔Ligament trauma Most important therapeutic modality used in treating muscle strains is - Precise Answer ✔✔Rest Antioxidants that protect the body from oxidation stress and provide nutritional support during times of increased activity - Precise Answer ✔✔Vitamins BC and E Carb loading is important one to four hours prior to athletic performance which food is a good source of carbohydrates with low glycemic index - Precise Answer ✔✔Apples Which substance has been been banned from used by participants and athletic events by the national sports regulating agencies - Precise Answer ✔✔Cardiovascular and antihypertensives