Patho Patho #75

Question

Which symptom is associated with osteoarthritis?

Answers

  1. 1. Pain in the legs that is relieved with rest.
    • Rationale:

      This answer choice is not correct because pain in the legs that is relieved with rest is associated with intermittent claudication and not osteoarthritis.

  2. 2. Tophi deposits on major joints.
    • Rationale:

      This answer choice is not correct because tophi deposited in major joints describes the underlying patho of gout and not osteoarthritis.

  3. 3. Pain that is aggravated by warm weather.
    • Rationale:

      This answer choice is not correct as warm weather does not typically exacerbate the pain associated with osteoarthritis.

  4. 4. Feelings of stiffness early in the morning.
    • Rationale:

      This answer is correct because osteoarthritis is characterized by joint pain and stiffness that is typically worse first thing in the morning when the client gets out of bed.

Overview

The focus of this question is asking the nurse to choose the symptom that is most closely associated with osteoarthritis. Osteoarthritis is a joint disease that results from the breakdown of joint cartilage and underlying bone. The most classic manifestations include bone and joint pain and stiffness, especially early in the morning.

Explanation

Learning Outcomes

Osteoarthritis is a specific type of arthritis that occurs when the cartilage in between bones is destroyed. It is a chronic progressive disorder that continues to worsen over time. The most common symptoms are joint pain and stiffness that tends to be worse first thing in the morning. Joint pain typically occurs in the hands, neck, lower back, knees or hips.

Test Taking Tip

To help differentiate between osteoarthritis (OA) and rheumatoid arthritis (RA), remember that the stiffness that occurs with OA is usually worse first thing in the morning but improves throughout the day. Joint stiffness in clients with RA does not typically improve as the day progresses.

Video Rationale