A nursing student is preparing a presentation on arthritis. The ...

[809779]

A nursing student is preparing a presentation on arthritis. The nursing student knows that differ-ences between osteoarthritis (OA) and rheumatoid arthritis (RA) include that: (Select all that ap-ply.)
 
  a. both OA and RA have an acute onset in older adults.
  b. OA is a localized process, whereas RA may be systemic.
  c. OA usually impacts distal interphalangeal joints; RA impacts proximal interphalan-geal joints.
  d. both OA and RA present with joint stiff-ness lasting 20-30 minutes after rest.
  e. initial treatment of both OA and RA is usually nonpharmacological using heat or exercise.

Question 2

A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the fol-lowing should the nurse include in the teaching? (Select all that apply.)
 
  a. Rest the joint during the acute gout attack.
  b. Take acetylsalicylic acid (aspirin, or ASA) to relieve pain.
  c. Increase fluid intake to 2 L/day.
  d. Avoid foods high in purine.
  e. Avoid alcoholic beverages.

[Animal_Goddess]

Answer to Question 1

ANS: B, C
OA has an insidious presentation, and RA has an acute presentation. OA presents with joint stiffness, which resolves in less than 20 minutes, and RA presents with joint stiffness that lasts more than 20-30 minutes. OA is initially treated with nonpharmacological treatments such as heat or exercise, and RA is treated with medications disease-modifying antirheumatic drugs (DMARDs) immediately after diagnosis.

Answer to Question 2

ANS: A, C, D, E
Individuals who are having an acute attack of gout should not take salicylates for pain. ASA is a salicylate.

[809779]

Excellent

[parshano]

TYSM