Chapter 38 Quiz

A  etanercept

B  methotrexate

C   allopurinol

D  adalimumab

A  avoiding caffeine and alcohol

B  regular exercise and stress reduction

C  applications of ice

D  encouraging the client to eat a healthy diet

A   jogging

B  running on a treadmill

C  t’ai chi

D  weight lifting

A  subcutaneous nodules

B  early morning stiffness

C  joint pain that diminishes with rest

D  small joint involvement

A  Muscle biopsy

B  Magnetic resonance imaging (MRI)

C  Bone scan

D  Computed tomography (CT)

A  It is suggestive of rheumatoid arthritis.

B  It is diagnostic for Sjögren’s syndrome.

C  It is diagnostic for systemic lupus erythematosus.

D  It is specific for rheumatoid arthritis.

A  Dressing changes

B  Narcotic safety

C  Assistive devices

D  Medication dosages and side effects

E  Safe exercise

A  Articulations

B  Synovitis

C  Pannus

D  Ankylosis

A  Maintain complete bed rest.

B  Perform aerobic exercises.

C  Keep shifting weight from one foot to the other.

D  Maintain good posture.

A  Scleroderma

B  Polymyalgia rheumatic

C  Systemic lupus erythematosus

D  Rheumatoid arthritis

A  Joint effusion

B  Pannus

C  Subchondral bone

D  Tophi

A  Arthroplasty

B  Hemarthrosis

C  Ankylosis

D  Diarthrodial

A  Hand and finger deformities are associated with the development of rheumatoid arthritis.

B  The client should discuss this concern with the health care provider.

C  A small percentage of osteoarthritis sufferers do eventually develop hand and arm deformities

D  It’s impossible to determine at the time of diagnosis how the disease will progress.

A  “The symptoms are primarily localized to the skin but may involve the joints.”

B  “The belief is that it is an autoimmune disorder with an unknown trigger.”

C  “This disorder is more common in men in their thirties and forties than in women.”

D  “SLE has very specific manifestations that make diagnosis relatively easy.”

A  The amount of fluid will be scant in volume.

B  The fluid will be straw colored.

C  The fluid will be milky, cloudy, and dark yellow.

D  The fluid will be clear and pale.

A  rarely respond to treatment.

B  will eventually lose their ability to walk.

C  may feel as if their symptoms are not taken seriously.

D  all have the same type of symptoms.

A  After the client has a diagnostic test

B  First thing in the morning when the client wakes

C  After cool compresses have been applied to the hands

D  After the client has had a warm paraffin hand bath

A  Skin

B  Lung

C  Brain

D  Kidney

A  Osteotomy

B   Arthrodesis

C  Synovectomy

D  Tenorrhaphy

A   Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes

B  Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware

C  Administering ordered analgesics and monitoring their effects

D  Performing meticulous skin care

A  An exercise routine that includes range-of-motion (ROM) exercises

B  Cold therapy

C  Acupuncture

D  Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs)

A  age

B  obesity

C  trauma

D  congenital deformity

A  Sjögren’s syndrome

B  Raynaud’s phenomenon

C  Reiter’s syndrome

D  Ankylosing spondylitis

A  Pace activities.

B  Avoid sunlight and ultraviolet radiation.

C  Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing.

D  If you have problems with a medication, you may stop it until your next physician visit.

A   frequently drinking coffee

B  eating organ meats and sardines

C  frequently ingesting salicylates

D  high carbohydrate intake

A  tender to the touch

B  nonmovable

C  located over bony prominence

D  reddened

A  Chest pain

B  Hypertension

C  Behavioral changes

D  Decreased cognitive ability

A  Encourage weight loss and an increase in aerobic activity

B  Avoid the use of topical analgesics

C  Assess for gastrointestinal complications associated with COX-2 inhibitors

D  Provide an analgesic after exercise

A  “Do all your chores in the morning, when pain and stiffness are least pronounced.”

B   “Do all your chores in the evening, when pain and stiffness are least pronounced.”

C  “Pace yourself and rest frequently, especially after activities.”

D  “Do all your chores after performing morning exercises to loosen up.”

A  “Exposure to sunlight will help control skin rashes.”

B  “There are no activity limitations between flare-ups.”

C  “Monitor your body temperature.”

D  “Corticosteroids may be stopped when symptoms are relieved.”

A  b. 0.24 mmol/L/

B  a. 0.19mmol/L

C  c. 0.32 mmol/L

D  d. 0.40 mmol/L

A  Colchicine

B  Physical therapy and exercise

C  Allopurinol

D  Hydrotherapy

A   Scleroderma

B  Osteoarthritis (OA)

C  Rheumatoid arthritis (RA)

D  Systemic lupus erythematous (SLE)

A   Diarrhea

B  Intestinal cramping

C  Increase in pain in the affected extremity

D  Tingling in the arms

E  Nausea and vomiting

A  detection of systemic complications

B  prevention of joint deformity

C  disease-modifying antirheumatic drug therapy

D  strategies for remaining active

A  Ankle

B  Metatarsophalangeal

C  Tarsal area

D  Knee

A   Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.

B   Exercising immediately upon awakening allows the client to participate in activities when he has the greatest amount of energy.

C   The time of day when exercise is performed isn’t important.

D   Exercising in the evening before going to bed is beneficial.

A   Facial erythema, pericarditis, pleuritis, fever, and weight loss

B   Weight gain, hypervigilance, hypothermia, and edema of the legs

C   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

D   Hypothermia, weight gain, lethargy, and edema of the arms

A  “I have pain in my hands.”

B  “My finger joints are oddly shaped.”

C  “My legs feel weak.”

D  “I have trouble with my balance.”

A  prevent platelet aggregation.

B  promote diuresis.

C  prevent infection.

D   combat inflammation.

A  Take the medication on an empty stomach in order to increase effectiveness.

B  Take the medication with food to avoid stomach upset.

C  Inform the health care provider if there is ringing in the ears.

D  Since the medication is able to be obtained over the counter, it has few side effects.

A  Decreased hemoglobin and hematocrit

B  Elevated uric acid levels

C  Increased AST and ALT

D  Elevated white blood count

A  Methylprednisolone (Medrol)

B  Methotrexate (Rheumatrex)

C  Infliximab (Remicade)

D  Etanercept (Enbrel)

A  jaw locking

B  butterfly facial rash

C  widespread chronic pain

D  Heberden nodes

A  increased urine output

B  red, butterfly-shaped facial rash

C  low back pain

D  patchy hair loss on the scalp

A  “The health care provider could prescribe anti-inflammatory drugs.”

B  “The health care provider could prescribe antipyretic drugs.”

C  “The health care provider could prescribe antihypertensive drugs.”

D  “The health care provider could prescribe antineoplastic drugs.”

A  colchicine

B  prednisone

C  penicillamine

D  methotrexate

A  fever and malaise

B  anorexia and weight loss

C  erythema and edema over the affected joint

D  joint stiffness that decreases with activity

A  fresh fish

B  green vegetables

C  organ meats

D  citrus fruits

A  “When it clears up, it will never come back.”

B  “I’ll definitely need surgery for this.”

C  “It will get better and worse again.”

D  It will never get any better than it is right now.”

A  colchicine

B  anturane

C  allopurinol

D  probenecid

A  azathioprine

B  cyclophosphamide

C  hydroxychloroquine

D  diclofenac

A  Celecoxib

B  Tolmetin sodium

C  Ibuprofen

D  Piroxicam

A  requires early treatment because most of the damage appears to occur early in the course of the disease.

B  the most common and frequently disabling of joint disorders.

C  affects the cartilaginous joints of the spine and surrounding tissues.

D  affects young males.

A  Increased C4 complement

B  Elevated erythrocyte sedimentation rate

C  Increased albumin levels

D  Increased red blood cell count

A  increased fatigue

B  decreased joint pain

C  a weight gain of 2 pounds

D  ability to perform activities of daily living (ADL)

A  Reports decreased joint pain

B  Reports ability to perform ADLs

C  Shows increased joint flexibility

D  Has a weight gain of 5 pounds

A  The medication is administered intramuscularly.

B  The medication is given at room temperature.

C  The client should continue taking the medication if fever occurs

D  It is important to monitor for injection site reactions.

A  Diarthrodial

B  Hemarthrosis

C  Arthroplasty

D  Ankylosis

A  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

B  vigorous physical therapy for the joints.

C  administration of opioids for pain control.

D  administration of monthly intra-articular injections of corticosteroids.

A  Osteoarthritis

B  Fibromyalgia

C  Rheumatoid arthritis

D  Gout

A  Surgery

B  Ice packs

C  Opioid therapy

D  Nonsteroidal anti-inflammatory drugs

A  Subchondral bone

B  Tophi

C  Joint effusion

D  Pannus

A  “Tell me more about your concerns about this potential diagnosis.”

B  “SLE is a very serious systemic disorder.”

C  You should discuss that matter with your health care provider.”

D  “The diagnosis won’t be based on the findings of a single test but by combining all data found.”

A  furosemide

B  aspirin

C  colchicine

D  calcium gluconate