A client with osteoarthritis reports joint pain and stiffness in the knees. Which of the following medications should the nurse expect the healthcare provider to prescribe initially?
Methotrexate
Ibuprofen
Prednisone
Infliximab
The Correct Answer is B
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly prescribed for the initial management of osteoarthritis. It helps reduce pain and inflammation in the affected joints. Methotrexate, prednisone, and infliximab are medications used to manage inflammatory arthritis conditions, such as rheumatoid arthritis, and are not typically prescribed for osteoarthritis.
a. Methotrexate is used in the management of inflammatory arthritis conditions, such as rheumatoid arthritis, and is not typically prescribed for osteoarthritis.
c. Prednisone is a corticosteroid used to manage inflammatory arthritis conditions, such as rheumatoid arthritis, and is not typically prescribed for osteoarthritis.
d. Infliximab is a biologic medication used in the management of inflammatory arthritis conditions, such as rheumatoid arthritis, and is not typically prescribed for osteoarthritis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Pain that worsens with weight-bearing activities and improves with rest is a classic clinical manifestation of osteoarthritis. Activity-related pain is due to the increased stress on the affected joint during movement, while rest allows for decreased pressure and relief of pain.
a. Nocturnal joint pain is more typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for 1 hour is characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Joint pain that is constant throughout the day may be seen in various joint disorders, but the pattern of pain relief with activity is more indicative of osteoarthritis.
Correct Answer is C
Explanation
The presence of Heberden's nodes, which are bony enlargements at the distal interphalangeal (DIP) joints, is a characteristic clinical manifestation of osteoarthritis. These nodes are a result of cartilage degeneration in the affected joints.
a. Joint pain that worsens with rest is more indicative of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Joint pain that improves with activity is not typical of osteoarthritis, which tends to worsen with weight-bearing activities.
d. Warm and erythematous joints are signs of inflammation and are more commonly seen in inflammatory arthritis conditions, not osteoarthritis.
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