Final Exam ATI RN COMPREHENSIVE EXIT EXAM complete latest update 100%.
2 views 0 purchase
Course
NR 452 (NR452)
Institution
Chamberlain College Of Nursing
Final Exam ATI RN COMPREHENSIVE EXIT EXAM complete latest update 100%
Most common form of joint disease - answer
Is osteoarthritis inflammatory? - answer
Is OA a normal part of aging? - answer
cartilage destruction can begin between what ages? Mainly affec...
final exam ati rn comprehensive exit exam complete
Written for
Chamberlain College Of Nursing
NR 452 (NR452)
All documents for this subject (76)
Seller
Follow
docguru
Reviews received
Content preview
Final Exam ATI RN COMPREHENSIVE
EXIT EXAM complete latest update 100%
Most common form of joint disease - answer Osteoarthritis (OA)
Is osteoarthritis inflammatory? - answer NO
-it is non-inflammatory
Is OA a normal part of aging? - answer no, it is considered abnormal
cartilage destruction can begin between what ages? Mainly affects adults by what age?
- answer 20-30 years of age
40
OA can be idiopathic or secondary. Explain - answer -idiopathic is unknown cause
- secondary can be from trauma, stress, inflammation, neuro-skeletal disorders
what is the cause if OA - answer no identified cause
some factors that are believed to being linked to OA - answer -estrogen reduction at
menopause
- genetics
-obesity
-ACL injuries
-job occupations with frequent kneeling
OA is a result from _____ damage that triggers a metabolic response at level of
_________ - answer cartilage
chondrocytes (bone formation cells)
,cartilage becomes _________ in OA - answer - dull, granular, soft and less elastic, less
able to wear with heavy use
OA happens when body's attempts at cartilage repair ________________ - answer
cannot keep up with destruction that is occuring
bony growths called ___________ increase at joint margins - answer osteophytes
inflammation is not a ________ of OA but is a _________ - answer not a cause but is a
symptom
inflammatory changes and pain occur in OA because - answer contact between bony
joint surfaces rug against each other
is OA systemic? - answer no, it is usually localized and does not affect whole body.
difference between OA and RA - answer OA- Degenerative
RA- inflammatory
In the early stages of OA, what relieves pain? - answer Rest
Early morning stiffness usually resolves within 30 minutes
later stages of OA - answer pain with rest and sleep disturbed
can the weather affect OA - answer barometric pressure falls, pain can become worse
OA can cause _____ pain - answer referred
sitting down becomes difficult when hips are _______ than the knees - answer lower
crepitation - answer the grating sound caused by loose particles in joint cavity
OA usually affects joints asymmetrically or bilaterally - answer asymmetrically
Herberden's nodes - answer Hard nodules or enlargements
of the distal interphalangeal
joints of the fingers
Bouchard's nodes - answer Osteoarthritis (PIP)
how does heberdens and Bouchar's nodes affect an individual - answer -red, swollen
and tender
- cause patients to be distressed (self conscious)
do nodes in OA cause loss of function? - answer no
,knee OA often leads to....
what signs may you see with this? - answer joint malalignment
altered gait
Hip OA may cause legs to be... - answer one leg may be shorter than the other
T of F: changes on x ray do not always correlate with the degree of pain experienced by
a patient - answer True
- an individual can have extreme degeneration with minimal pain
The ESR is used to test for OA. Why? - answer erythrocyte sedimentation rate (ESR)
may be elevated because RBC are made in bone marrow
foundation of OA management is usually ____________ interventions - answer
nonpharmacologic
arthoscopic surgery - answer -debridement is not usually recommended
- effective in reducing pain and improving function when it is used to repair ligament
tears and remove bone bits or cartilage
Patient must understand the importance of balancing ______ and ______ - answer rest
and activity
during any periods of acute inflammation, affected joints should be - answer rested
immobilization should not exceed - answer one week
heat is used for - answer stiffness and blood circulation
cold is used for - answer acute inflammation
vasoconstriction (less blood supply = less inflammation at site)
nutritional therapy and exercise - answer - weight loss
- exercise ROM
-strengthening quad
glucosamine is mainly used in which disease and for what - answer some pain relief,
possibly slow progression in OA, no improvement seen in inflammation in RA
Glucosamine and Chondroitin Sulfate education - answer - do not use in shellfish
allergy
drug therapy mild to moderate OA - answer acetaminophen 1000 mg q6h
drug therapy moderate to severe OA - answer NSAID
, what types of assessments do nurses need to do for OA - answer pain and physical
(ADLs)
- must have a BILATERAL comparison to detect degree of OA
is deformity usual in OA - answer deformity is not usual course of OA
osteoporosis is _________ progressive metabolic bone disease characterized by
_______, ______, ________ - answer chronic
porous bone, low bone mass, structural deterioration of bone tissue
osteoporosis is known as the "silent thief" because - answer it slowly robs skeleton of
banked resources that eventually become so fragile they cannot withstand normal
mechanical stress. ( cannot become weight - bearing)
osteoporosis is most common in - answer females
Why is osteoporosis more common in women? - answer -Lower calcium intake
-Less bone mass
-Bone resorption begins earlier and accelerates after menopause.
-Pregnancy and breastfeeding
-Longevity
peak bone mass is achieved before age - answer 20
at menopause, women experience rapid bone loss when the decline in _______
production is the sharpest. - answer estrogen
decreased estrogen = increased bone loss
long term ________ use is a major contributor for osteoporsis - answer corticosteroid
when corticosteroid is taken, loss of bone and ______ of new bone formation occur -
answer inhibition
- prevents bone formation
Normal bone vs Osteoporotic bone - answer
in osteoporosis, bone _______ exceeds bone _______ - answer reabsorption,
deposition
-breaking down faster than building up
Osteoporosis most commonly in - answer spine, hips, wrist
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller docguru. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.29. You're not tied to anything after your purchase.
