ASSESSMENT
Hallmark symptom of osteoarthritis
Joint pain
What is a nurse priority after THA?
Prevent hip dislocation
What is a common medication class for osteoarthritis pain?
Analgesic (acetaminophen) and NSAID (ibuprofen)
What lifestyle changes should be encouraged for osteoporosis prevention?
Weight-bearing exercises
Your post op patient reports pain of 7/10 what should you do first? 2 answers choices
PQRST/ then administer pain meds
What assessment finding is common in degenerative disc disease?
Lower back pain
Which non-pharmaceutical intervention helps relieve chronic osteoarthritis pain? 3 answers
Heat therapy, exercise, and weight loss
What is the major risk for long term opioid use?
Respiratory depression
What dietary advice should be given for someone with constipation? 3 answers
Increase fiber, fluid, exercise
Order; Morphine 4 mg IV.
Available; 10 mg/2mL How many mLs do you give?
0.8 mL
What is the key distinguishing symptom of urinary retention compared to BPH? 3 answers
Difficulty starting urination, weak stream, incomplete bladder emptying
What is the nurses priority when performing a dressing change?
Maintain aseptic technique and assess for sign of infection.
What medication may be used for neuropathic pain in degenerative disc disease?
Gabapentin
What should patients avoid when taking opioids for post-op pain? 2 answers
Alcohol and driving
A patient with osteoporosis asks why calcium and vitamin D are important. What is best nurse response?
They help strengthen bones
What lab test is important to monitor for C Difficile infection?
Stool Culture
What post-op intervention helps prevent DVT after joint replacement? 2 answers
Anticoagulant, early ambulation (encourage them to walk)
What medication is used to shrink prostate in BPH?
Finasteride (5 alpha)
What should patients know about taking NSAID?
Take it with food and GI bleeding
Your patient has shortness of breath and chest pain after total knee replacement what is your first action? What is happening?
Call provider. Possible pulmonary embolis.
What is the normal post-op finding after TJA vs complication
Normal; mild swelling/ pain
Complication; infection/severe pain
What infection control intervention is required when caring for a patient with C. difficile? What type of precautions do you use?
Contact precaution and handwashing
What medication for osteoporosis requires the patient to sit up right for 30 minutes after taking it?
Alendronate (Fosamax)
What discharge teaching is important after TJA? 3 answers
signs of indirection, proper use of assistive devices, fall prevention
A patient on opioids hasn’t had a bowel movement in 7 days, with abdominal distention and nausea. What is the patient most at risk for?
Constipation