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Recognizing and managing osteoarthritis

doi: 10.1097/01.NURSE.0000459971.93333.07
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INSTRUCTIONS Recognizing and managing osteoarthritis

TEST INSTRUCTIONS

  • To take the test online, go to our secure website at http://www.nursingcenter.com/ce/nursing.
  • On the print form, record your answers in the test answer section of the CE enrollment form on page 43. Each question has only one correct answer. You may make copies of these forms.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
  • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
  • Registration deadline is January 31, 2017.
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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing2015 journal, will award 2.0 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours.

Your certificate is valid in all states.

Recognizing and managing osteoarthritis

GENERAL PURPOSE: To provide an overview of OA. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. Describe the pathophysiology of OA. 2. Outline nursing interventions for the patient with OA.

  1. OA is defined as a breakdown and loss of the
    1. synovial membrane.
    2. tendon sheath.
    3. articular cartilage.
  2. Glycoproteins composed of chondroitin, keratan sulfate, and other substances are called
    1. chondrocytes.
    2. proteoglycans.
    3. osteocytes.
  3. Aging or trauma to a joint can exacerbate OA by promoting a(n)
    1. loss of proteoglycans.
    2. loss of osteocytes.
    3. increase in chondrocytes.
  4. The crepitus of OA is caused by
    1. air pockets.
    2. tendon instability.
    3. bone and cartilage fragments.
  5. Which condition might lead to the development of primary OA?
    1. repetitive use injury
    2. rheumatoid arthritis
    3. obesity
  6. Which joints are most often affected by OA?
    1. hips
    2. shoulders
    3. wrists
  7. Which of the following is not considered a risk factor for OA?
    1. muscle weakness
    2. osteoporosis
    3. proprioceptive deficits
  8. Which test is most useful indiagnosing OA?
    1. complete blood cell count
    2. X-ray of joint
    3. ultrasonography
  9. Diagnostic clinical criteria for OA include
    1. bony enlargement.
    2. elevated erythrocyte sedimentation rate.
    3. palpable warmth.
  10. Which of the following statements is accurate?
    1. OA is classified as primary or secondary based on severity of symptoms.
    2. By age 40, 90% of people will develop some degenerative joint changes.
    3. Patients with OA have a positive rheumatoid factor.
  11. Initial management of both hip and knee OA requires a combination of weight management and
    1. surgery.
    2. viscosupplementation.
    3. physical activity.
  12. Application of heat decreases the pain of OA by
    1. reducing edema.
    2. relaxing muscles.
    3. blocking nerve impulses.
  13. Knee braces in OA are used primarily to help
    1. immobilize the leg.
    2. relax muscles.
    3. improve mobility.
  14. A common first-choice pharmacologic agent for OA is
    1. ibuprofen.
    2. hydrocodone.
    3. betamethasone.
  15. For treatment of OA of the knee, the American College of Rheumatology recommends against using
    1. hyaluronic acid injection.
    2. topical salicylates.
    3. topical capsaicin.
  16. Important considerations for treating OA with corticosteroid injections include
    1. potential adverse reactions, including tendon rupture.
    2. their proven effectiveness in shoulders and hands.
    3. long-term symptom relief of up to 1 year.
  17. The goals of OA management as stated by the Osteoarthritis Research Society International include
    1. maintaining optimal functional ability.
    2. promoting bone regeneration.
    3. reversing the disease process.
  18. Nursing interventions for patients with OA primarily focus on pain management and
    1. providing support for ADLs.
    2. maintaining independence.
    3. immobilizing affected joints.
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