MEDSURG Final complete update A+ GRADED
Osteoarthritis (OA) Noninflammatory degenerative joint disorder characterized by the
... [Show More] progressive deterioration of articular cartilage. Leads to erosion of cartilage and underlying bone. Ultimately, joint spaces become narrowed, resulting in pain. Typically unilateral, localized.
OA: Risk Factors ↠ Aging: Over 60 y.o.
↠ Acute or repetitive stress on joint predisposes later on. (obesity, joint injuries).
↠ Metabolic disorders DM, blood disorders.
OA Expected Findings ↠ Joint pain, stiffness, limping
↠ Crepitus (cracking or popping sound)
↠ Enlarged affected joint
↠ Heberden (distal) and Bouchard (proximal) nodes
↠ Pain with activity that improves with rest.
↠ Active ROM exercise is more effective than passive.
OA: Medications Acetaminophen (APA), NSAIDs, Capsaicin cream.
OA: Nursing Interventions ↠ APAP: Max 4 g/24 hrs.
↠ NSAIDs: Nephrotoxic → monitor BUN/Cr, report black tarry stools and blood in stools, take with food.
↠ Cap. Cream: Apply 3-4 x's daily. BURNS → wear gloves, avoid touching face & eyes.
↠ Heat and Cold therapy (limit to 20 min.)
ATI Workbook
A nurse is assessing a client who has OA of the knees and fingers. Which of the following manifestations should the nurse expect to find? (Select all that apply)
a. Heberden's nodes
b. Swelling of all joints
c. Small body frame
d. Enlarged joint size
e. Limp when walking a. Heberden's nodes
d. Enlarged joint size
e. Limp when walking
ATI Workbook
A nurse is providing information to a client who has OA of the hip and knee. Which of the following information should the nurse include in the information? (Select all that apply)
a. Apply heat to joints to alleviate pain
b. Ice inflamed joints for 30 min following activity.
c. Reduce the amount of exercise done on days with increased pain
d. Prop the knees with a pillow while in bed
e. Active ROM is more effective than passive a. Apply heat to joints to alleviate pain
c. Reduce the amount of exercise done on days with increased pain
e. Active ROM is more effective than passive
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