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NUR 1024: NCLEX Questions& Answers For Osteoarthritis
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NUR 1024: NCLEX Questions& Answers For Osteoarthritis
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NUR 1024: NCLEX Questions& Answers ForOsteoarthritis
The nurse is teaching a class about the joints commonly affected by
osteoarthritis (OA). Which joints should the nurse include?
A. Ankles, feet, and spine
B. Knees, feet, and spine
C. Hands, knees, and hips
D. Neck, shoulders, and ankles ✔️Answer: C
Rationale: Hands, knees, and hips are the most commonly affected joints of
OA. Feet, spine, neck, shoulders, and ankles are not the most common
locations.
After performing a physical assessment, the nurse suspects that a client is
experiencing manifestations of osteoarthritis (OA). Which finding supports
the nurse's suspicion? (Select all that apply.)
A. Leg tremors
B. Joint tenderness
C. Reduced joint flexibility
D. Crepitation
E. Joint stiffness ✔️Answer: B, C, D, E
Rationale: Manifestations of OA include crackling sounds, or crepitation,
with joint movement; joint stiffness and tenderness; and reduced joint
flexibility. Leg tremors can be associated with multiple sclerosis or
Parkinson disease.
Which is a common risk factor for osteoarthritis? (Select all that apply.)
A. Overuse of joints from sports or strenuous activities
B. Obesity
C. Ingestion of large amounts of purine
D. Autoimmune disorder
E. Activities affecting weight-bearing joints ✔️Answer: A, B, E
Rationale: Common risk factors for osteoarthritis include obesity, overuse
of joints from sports injuries or strenuous activities, and activities affecting
weight-bearing joints. Rheumatoid arthritis is thought to be an
autoimmune disorder. Ingestion of large amounts of purines is a risk factor
for gout.
, Which clinical manifestation of osteoarthritis (OA) should the nurse
include when teaching about osteoarthritis? (Select all that apply.)
A. Joint pain with activity
B. Pain and stiffness at night
C. Abrupt onset
D. Mild fever
E. Crepitus with movement of joint ✔️Answer: A, B, E
Rationale: Joint pain with activity, grating or crepitus noted with
movement, and pain and stiffness with prolonged inactivity are general
manifestations of OA. Mild fever is associated with rheumatoid arthritis,
not OA. Osteoarthritis is a degenerative disease that develops over time,
although symptoms may appear suddenly.
A client diagnosed with localized idiopathic osteoarthritis (OA) asks the
nurse what this means. Which response by the nurse provides the most
accurate information?
A. "Idiopathic describes OA overall while localized indicates that it affects
one body joint only."
B. "Idiopathic refers to the fact that the OA has already progressed
significantly in one or two joints."
C. "Idiopathic OA has no identifiable cause; when it is localized, it only
affects one or two joints."
D. "Idiopathic OA, as compared with secondary OA, is caused by some kind
of underlying condition." ✔️Answer: C
Rationale: There are two types of OA, idiopathic and secondary. Idiopathic
OA has no identifiable cause and can be further subdivided as localized or
generalized, with localized indicating that the OA only affects one or two
joints, so stating that it has no identifiable cause and is limited to one or
two joints would be the most accurate response. Idiopathic OA is not due to
an underlying condition. Idiopathic refers to cause, not progression of the
disease. Idiopathic is not a term used in general for OA, nor does the term
localized indicate that affected joints are either in the upper or lower torso.
Which health promotion activity supports a healthy lifestyle for clients
with osteoarthritis? (Select all that apply.)
A. Maintaining a normal weight
B. Using proper body mechanics
C. Using assistive devices as needed
D. Increasing dietary intake of calcium
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