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NAON DEGENERATIVE JOINT DISEASE
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
what is recommended as the initial drug of choice for treatment of osteoarthritis?
what activity might be recommended for a pt. with osteoarthritis of the knee? - answers-fast walking
your pt. ia a 46 year old businessman who has been diagnosed with osteoarthritis of his knees, right greater then left. he has used jogging for exercise most of his life. he wants to do anything he can to prevent having surgery. what is an option for him? - answers-maintain normal body weight
what is a nonpharmocological option to help control pain from osteoarthritis? - answers-a tens unit
following 3 conservative treatments your pt.'s orthopedic surgeon suggests a bilateral total knee replacements. the pt. would rather have unicompartmental knee replacements. what is the likely reason that unicompartmental knee replacements are contraindicated for him? - answers-acl insufficiency
what is a haberdeen's node? - answers-osteophyte formation
what is often found in degenerative disc disease? - answers-back pain gradually increases in severity over time
a patient with oa in the shoulders finds housekeeping a challenge. your teaching should include - answers-space the cleaning throughout the week cleaning one room a day
non pharmacological management of oa include - answers-weight loss and physical therapy
what is a management goal of osteoarthritis? - answers-reduce pain, maintain mobility and joint function
what is an advantage of newer nsaid's with cox-2 selectivity? - answers-less gi toxixity
a patient undergoing total shoulder arthoplasty will wear a sling at all times for - answers-2-3 weeks
after shoulder arthoplasty a sling would be worn except for - answers-bathing and pt
what is a major difference between osteo and rheumatoid arthritis? - answers- osteoarthritis is a slow localized progressive disorder
which test(s) is used for diagnosing arthritis? - answers-x-ray
what describes joint pain? - answers-grating or crackling
what is a presenting symptom of hip osteoarthritis? - answers-groin pain which may radiate down the anterior thigh
what can be accomplished with occupational therapy? - answers-adl's
what nonpharmacological intervention would be used following tsr? - answers- support the affected arm with pillows
the best explanation for the use of the overhead trapeze bar following tsr is - answers-using the trapeze bar allows you to move yourself around in the bed bu using only your unaffected arm
proper positioning for a total shoulder would be - answers-in a sling
as part of the discharge teaching plan for a total shoulder surgery what instructions are appropriate regarding future restrictions/ - answers-lift nothing more than a glass with your operative arm
following total shoulder (tsr) discharge teaching should include - answers- exercises will help your arm become strong
pre procedure teaching for a patient undergoing an mri should include - answers- mri is not an invasive procedure but the physician may prescribe a medication for you if you are uncomfortable in enclosed spaces
the etiology of herniated nucleus polyposus (hnp) is most often - answers- degeberation of the disc
what is now rarely used as a diagnostic for hnp since the availability of mri? - answers-myelogram
following a percutaneous disectomy your parent teaching would include - answers-log roll when turning
a patient is admitted with a diagnosis of osteoarthritis of the left hip and is to undergo a cemented total hip arthoplasty. during pre-operative teaching the nurse realizes the patient does not fully understand the planned surgical procedure. what action should the nurse take? - answers-notify the surgeon to provide further explanations to the patient and obtain consent
upon entering the patient's room, the nurse finds the patient's left leg externally rotated and shortened. what can the nurse do to help the patient? - answers-call the patient's surgeon
the nurse is preparing the patient for discharge after a total knee replacement. what teaching should be included to increase his self care ability? - answers- dressing change technique to prevent wound infection
what indicates that a patient understands hip precautions? - answers-it's better to have my toes straight up and turned slightly outward
an 83 year old female undegoes left total hip replacement. prbc's are ordered post-operatively after losing 500 ml intraoperatively and 400 ml, 2 hours post-op. while infusing the patient's 2nd unit of banked blood she complains of a headache, chills and lumbar pain. vs are t=101, p=90, bp=90/60. a blood transfusion reaction is expected, what do you do 1st? - answers-stop the transfusion
besides the blood transfusions, what might also be suggested for a patients anemia? - answers-iron supplementation
despite medical issues while an impatient, the patient is ready for discharge home. what equipment addresses her self-care issues? - answers-reacher
a patient with a recent diagnosis of avascular necrosis that developed 8 years after a traumatic hip dislocation undergoes left hip arthoplasty. epidural analgesia is ordered for pain and the patient now complains that she is no longer getting adequate pain relief. using a 10 point rating scale the nurse determines that her pain has gone from a 3 to 9. what additional assessment should be done? - answers-epidural insertion site for dislodgement
the patient is partial weight bearing on her left leg. she states that she does not wish to ambulate today. what response should the nurse have? - answers-why don't you want to walk?
what is a common isometric exercise that the patient performs routinely following a hip hemiarthoplasty? - answers-quadricep sets
what should the patient do to prevent a hip flexion contracture? - answers-lie flat
what is replaced in a hemiarthoplasty of the hip? - answers-femoral component
the post operative patient is now on the orthopedic unit. the operative leg is cool and capillary refill is sluggish. what should the nurse di first? - answers-assess the non operative extremity
the spouse of a patient who had a total hip replacement asks how will this surgery affect our sex life? what is an appropriate response? - answers-there are some positioning restrictions to follow
what statement by a patient who has had a hip replacement shows that they understand hip dislocation precautions? - answers-i should keep my left leg from rolling inward
while the nurse is presenting the discharge instructions to a 43 yr old joint replacement pt. he says i don't want to be seen in public with a walker. what is an appropriate response? - answers-discuss use of crutches with your physical therapist
what response by a total hip arthoplasty pt. indicates understanding of his discharge instructions? - answers-i can bear 30% weight on my right leg for now
your pt. is an avid golfer with osteoarthritis. he is having a lot of pain in his left knee. he wants an intrarticular steroid injection. in reviewing his chart you note this will be his 4th injection in that knee in 10 months. what is the reason he will unlikely receive another injection? - answers-steroid induced arthropathy
a pt. and his orthopedic surgeon decide on minimally invasive surgery total knee replacements. what is the advantage/ - answers-no eversion of the patells
what is an important inclusion for the discharge teaching following a mis tka? - answers-dvt/pe prophylaxis
a pt who had a tka has a hemovac that drained 860cc of blood since surgery 4hrs ago. what action should the nurse take? - answers-turn off the cpm and notify the surgeon
on postoperative day1 the pt's hemoglobin is 7.5 witha pulse of 110. bp is 90/60. she complains of dizziness upon raising the head of the bed. the np orders 2 units of packed red bood cells. the pt expresses a fear of getting aids. how do you respond? - answers-you have a higher risk of injury from your anemia then from aids
prior to a blood transfusion the pt states i have never received blood before i do not know how i will respond. how do you respond? - answers-i know you are afraid i will be checking on you frequently
the physician ordered iron supplement for the pt. what food is high in iron to include in the pt.'s diet? - answers-cooked spinach
your pt. is an active 70 yr old admitted for a right tka. he has multiple medical problems including noninsulin dependent diabetes mellitus, renal failure, coronary artery disease, hypertension and benign prostatic hypertrophy. he has been medically cleared by his medical dr and cardiologist. it has been decided to use the epidural route for anesthesia and post operative pain management. what is a potential complication associated with epidural analgesia? - answers-urinary retention
