NR 511 Week 8 Final Exam.

4. Is a bone disorder that has to do with inadequate mineraliza琀椀on of the bones. Ra琀椀onales Op琀椀on 1: Osteoporosis develops when bone resorp琀椀on occurs more rapidly than bone deposi琀椀on. Op琀椀on 2: Osteoarthri琀椀s is a degenera琀椀ve joint disease characterized by degenera琀椀on and loss of ar琀椀cular car琀椀lage in synovial joints. Op琀椀on 3: Rheumatoid arthri琀椀s is a chronic, systemic in昀氀ammatory disorder characterized by persistent synovi琀椀s of mul琀椀ple joints. Op琀椀on 4: Osteomalacia is a metabolic bone disorder characterized by inadequate mineraliza琀椀on of the bone matrix, o昀琀en caused by vitamin D de昀椀ciency. Mike, age 42, a golf pro, has had chronic back pain for many years. His workup reveals that it is not the result of a degenera琀椀ve disk problem. His back “goes out” about twice per year, and he is out of work for about a week each 琀椀me. Which of the following should the nurse prac琀椀琀椀oner advise him to do? 1. Consider changing careers to something less physical. 2. Begin a planned exercise program to strengthen back muscles. 3. Make an appointment with a neurosurgeon for a surgical consulta琀椀on. 4. Start on a daily low-dose narco琀椀c to take away the pain. Ra琀椀onales Op琀椀on 1: Sugges琀椀ng a career change should be considered only in cases of disability or inability to safely con琀椀nue one’s current employment. Op琀椀on 2: In this case, Mike may bene昀椀t from a regular planned exercise program to strengthen his back muscles and a琀琀empt to reduce the probability of future episodes of back pain. Op琀椀on 3: Surgery is recommended only for clients with low back pain caused by degenera琀椀ve disk disorders, and then only when severe neurologic involvement has occurred. Surgery bene昀椀ts only approximately 1% of people with low back problems. Op琀椀on 4: Narco琀椀c pain medica琀椀ons are not considered 昀椀rst-line treatment for mechanical back pain. Course Topic: Musculoskeletal Problems Concept(s): 21820Cogni琀椀ve Level: Analysis [Analyzing] Janine, age 69, has class III rheumatoid arthri琀椀s. According to the American Rheuma琀椀sm Associa琀椀on, which of the following describes her ability to func琀椀on? 1. Adequate for normal ac琀椀vi琀椀es despite a handicap of discomfort or limited mo琀椀on of one or more joints. 2. Largely or wholly incapacitated, bedridden, or con昀椀ned to a wheelchair, permi琀��ng li琀琀le or no self-care. 3. Completely able to carry out all usual du琀椀es without handicap. 4. Adequate to perform only a few or none of the du琀椀es of usual occupa琀椀on or self-care. Ra琀椀onales Op琀椀on 1: Op琀椀on 1: Acetaminophen, oral nonsteroidal an琀椀-in昀氀ammatory drugs (NSAIDs), tramadol, and intra-ar琀椀cular cor琀椀costeroid injec琀椀ons are recommended for ini琀椀al management of hip OA. Op琀椀on 2: Acetaminophen, oral NSAIDs, tramadol, and intra-ar琀椀cular cor琀椀costeroid injec琀椀ons are recommended for ini琀椀al management of hip OA. Op琀椀on 3: The ACR condi琀椀onally recommends acetaminophen, oral NSAIDs, topical NSAIDs, tramadol, and intra-ar琀椀cular cor琀椀costeroid injec琀椀ons for OA of the knee. Op琀椀on 4: Topical capsaicin, topical NSAIDs, oral NSAIDs, and tramadol are recommended by the ACR for the treatment of OA of the hand. Margaret, age 55, presents to you for evalua琀椀on of le昀琀 hand and wrist pain and swelling a昀琀er a slip and fall on the ice yesterday. On examina琀椀on,