(NR 603 wk7)

(Possible Questions & Answers)

Permalink: https://collepals.com//nr-603-week-7-quiz-answers/

Osteo Arthritis

• Question: Which patient below should be screened for osteoporosis?
• Question: … medication is recommended by the American college of rheumatology as first line agent for a patient who has been unsuccessful with non-pharmacologic interventions for osteoarthritis pain?
• Question: Which joints are least commonly involved in osteoarthritis?
• Question: A 75-year-old female who is otherwise healthy has mild osteoarthritis in her right knee. She complains of pain not relieved by acetaminophen 2000 mg daily. What should … done?
• Question: An 80-year-old patient is very active but presents today with posterior hip pain for the past week. Which of the following is least likely part of the differential diagnosis?
• Question: A 62-year-old female presents with atraumatic right knee pain. On exam she has mildly swollen right knee that is not war or tender to touch. She has a negative McMurry test. Her x-ray demonstrates tibiofemoral joint narrowing and visualization of osteophytes. How should the nurse practitioner interpret the results of this x-ray?

Rheumatoid Arthritis

• Question: Which findings are most commonly … with rheumatoid arthritis?
• Question: Which of the following test if positive is part of the criteria for systemic lupus erythematosus (SLE)?
  

  ---

Week 7 Quiz (Study Topics)

QUIZ will end focusing on the assessment, diagnosis and treatment of Osteo and Rheumatoid Arthritis.

OSTEO ARTHRITIS

• progressive loss of cartilage
• joint pain (progressive deterioration)
• osteophytes (bone spurs)
• cartilage disintegrates
• bone & cartilage “float” into joint (crepitus)
  Smokers increased risk, more in women.…………document continue 

RHEUMATOID ARTHRITIS

• common connective tissue disease (joint destruction)
• chronic, progressive, systemic
• synovial joints
• autoantibodies form & attack healthy tissue (inflammation)
  symmetrical……………………document continue

   

  ---

Week 7 Quiz (RA & OA)

RA                                                          OA

• Identifying factors
• First line treatment
• What do you monitor during treatment
• What’s effected
• Unilateral vs bilateral

Polymyalgia Rheumatica              Temporal Arteritis (giant cell)

• Identifying factors
• First line treatment
• What do you monitor during treatment
• What’s effected
• Unilateral vs bilateral

Systemic lupus Erythematous

• Identifying factors
• First line treatment
• What do you monitor during treatment
• What’s effected
• Week 7 Quiz & Answers

 

 

MORE INFO 

Screening and treatment of osteoporosis

Introduction

Osteoporosis is a disease that affects your bones and can lead to fractures. It’s most common in women, but men are also affected by osteoporosis. You can have osteopenia, which means that you have some bone loss but not enough to be diagnosed with osteoporosis. Osteoporosis affects more than 200 million people worldwide and is considered the most common cause of bone fracture and disability worldwide (1).

Osteoporosis and osteopenia are more common in women than men.

You are more likely to have osteopenia or osteoporosis if you are a woman, especially if you’re over age 50. The reason for this is that women have a greater risk of developing the disease than men do.

Osteopenia is a precursor to osteoporosis and can increase your chances of developing it by up to 30%. If you have it, there’s an increased risk that your bones will become thin and prone to breakage. This can lead to fractures or even death if they don’t heal properly after an injury or fall (which would require surgery).

Regular exercise can help you maintain strong bones.

You should exercise regularly, whether you’re young or old. Exercise helps to strengthen your bones and can also help prevent falls and fractures. It’s an important part of maintaining good health as you get older, but even if you don’t want to join a gym or work out at home, there are other ways to incorporate activity into daily life—like walking around the block with friends or taking the stairs instead of the elevator every day!

Exercising regularly can also improve balance, sleep quality (and duration), weight loss goals/body mass index (BMI) levels/accomplishments related to strength training like building muscle mass through resistance exercises (such as lifting weights). Exercise offers many mental benefits too; it improves mood by helping us cope better with stressors in our lives; improves memory through increased blood flow throughout the brain due to increased activity levels during physical activity; promotes feelings of self-confidence when we accomplish things we’ve set out for ourselves before starting an exercise program.”

More than one type of medication can be used to treat osteoporosis.

You may be prescribed a medication to treat your osteoporosis. Medications can help slow or stop bone loss, but they are not the only option for treating osteoporosis. There are several different types of medications available, and different people respond differently to each type.

For example:

• If you have been diagnosed with osteopenia (low bone mass), your doctor will likely recommend bisphosphonates such as Fosamax or Actonel because they prevent new bone formation while also improving strength in bones that have been affected by disease or injury. This medication can help restore your body’s natural ability to build new healthy bones over time if taken regularly throughout life.* If you have been diagnosed with advanced osteoporosis due to either multiple fractures or long-term exposure at high risk for future fractures from falling down stairs etc., then treatment may include corticosteroids like prednisone which help improve appetite so that food intake increases enough calories needed daily

Medication can’t undo osteoporosis, but it can help slow or stop bone loss.

Medication can’t undo osteoporosis, but it can help slow or stop bone loss.

The best way to treat osteoporosis is through medication. Medications are most effective when they’re started at an early age, before the condition has progressed too far. You’ll need to take these medications until you’ve reached a healthy weight and your doctor determines that there’s no longer a need for them (which may take several years).

There are two types of medication: bisphosphonates (such as Fosamax) and estrogen-receptor blockers (spironolactone). Each one has its own benefits—but both work by helping bones retain their structure by slowing down the progression of osteoporosis over time.

Medication for osteoporosis must be taken carefully to receive the full benefits.

Medication for osteoporosis must be taken carefully to receive the full benefits.

The medication must be taken as prescribed, with food and with other medications.

You should not stop the medication abruptly or increase the dose on your own.

Getting diagnosed is the first step toward treatment so you should talk to your provider about whether screening is right for you.

Screening is recommended for anyone over the age of 65, or if you have a family history of osteoporosis. If you’re diagnosed with osteopenia or osteoporosis, screening may also be recommended.

The most common test used to screen for osteoporosis is the DXA scan (dual-energy X-ray absorptiometry). This procedure involves taking a series of x-rays over time while standing on an X-ray machine that measures body composition in relation to bone mineral density (BMD). The result can help doctors determine whether your risk for developing fractures is high enough to warrant treatment.

Conclusion

We hope that you feel better informed about osteoporosis and how to manage it. If you have any questions, don’t hesitate to reach out!