Chapter 38 Quiz

A  adalimumab

B  methotrexate

C  etanercept

D   allopurinol

A  applications of ice

B  avoiding caffeine and alcohol

C  regular exercise and stress reduction

D  encouraging the client to eat a healthy diet

A  weight lifting

B  t’ai chi

C   jogging

D  running on a treadmill

A  small joint involvement

B  joint pain that diminishes with rest

C  subcutaneous nodules

D  early morning stiffness

A  Muscle biopsy

B  Magnetic resonance imaging (MRI)

C  Bone scan

D  Computed tomography (CT)

A  It is specific for rheumatoid arthritis.

B  It is suggestive of rheumatoid arthritis.

C  It is diagnostic for Sjögren’s syndrome.

D  It is diagnostic for systemic lupus erythematosus.

A  Assistive devices

B  Narcotic safety

C  Medication dosages and side effects

D  Dressing changes

E  Safe exercise

A  Ankylosis

B  Synovitis

C  Articulations

D  Pannus

A  Maintain complete bed rest.

B  Keep shifting weight from one foot to the other.

C  Perform aerobic exercises.

D  Maintain good posture.

A  Rheumatoid arthritis

B  Scleroderma

C  Polymyalgia rheumatic

D  Systemic lupus erythematosus

A  Joint effusion

B  Tophi

C  Pannus

D  Subchondral bone

A  Ankylosis

B  Hemarthrosis

C  Diarthrodial

D  Arthroplasty

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

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

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

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

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

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

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

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

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

B  The fluid will be clear and pale.

C  The fluid will be straw colored.

D  The amount of fluid will be scant in volume.

A  rarely respond to treatment.

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

C  will eventually lose their ability to walk.

D  all have the same type of symptoms.

A  After the client has a diagnostic test

B  After the client has had a warm paraffin hand bath

C  After cool compresses have been applied to the hands

D  First thing in the morning when the client wakes

A  Lung

B  Kidney

C  Skin

D  Brain

A   Arthrodesis

B  Tenorrhaphy

C  Synovectomy

D  Osteotomy

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  Performing meticulous skin care

D  Administering ordered analgesics and monitoring their effects

A  Cold therapy

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

C  Acupuncture

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

A  age

B  trauma

C  obesity

D  congenital deformity

A  Reiter’s syndrome

B  Sjögren’s syndrome

C  Raynaud’s phenomenon

D  Ankylosing spondylitis

A  Pace activities.

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

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

D  Avoid sunlight and ultraviolet radiation.

A  frequently ingesting salicylates

B  high carbohydrate intake

C   frequently drinking coffee

D  eating organ meats and sardines

A  located over bony prominence

B  nonmovable

C  reddened

D  tender to the touch

A  Hypertension

B  Decreased cognitive ability

C  Chest pain

D  Behavioral changes

A  Assess for gastrointestinal complications associated with COX-2 inhibitors

B  Provide an analgesic after exercise

C  Encourage weight loss and an increase in aerobic activity

D  Avoid the use of topical analgesics

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

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

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

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

A  “Monitor your body temperature.”

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

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

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

A  d. 0.40 mmol/L

B  b. 0.24 mmol/L/

C  a. 0.19mmol/L

D  c. 0.32 mmol/L

A  Colchicine

B  Allopurinol

C  Hydrotherapy

D  Physical therapy and exercise

A   Scleroderma

B  Osteoarthritis (OA)

C  Rheumatoid arthritis (RA)

D  Systemic lupus erythematous (SLE)

A  Intestinal cramping

B  Tingling in the arms

C  Nausea and vomiting

D   Diarrhea

E  Increase in pain in the affected extremity

A  prevention of joint deformity

B  disease-modifying antirheumatic drug therapy

C  detection of systemic complications

D  strategies for remaining active

A  Knee

B  Tarsal area

C  Ankle

D  Metatarsophalangeal

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

B   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.

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

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

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

A  “I have trouble with my balance.”

B  “I have pain in my hands.”

C  “My legs feel weak.”

D  “My finger joints are oddly shaped.”

A  promote diuresis.

B  prevent infection.

C  prevent platelet aggregation.

D   combat inflammation.

A  Take the medication with food to avoid stomach upset.

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

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

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

A  Increased AST and ALT

B  Elevated uric acid levels

C  Elevated white blood count

D  Decreased hemoglobin and hematocrit

A  Methylprednisolone (Medrol)

B  Infliximab (Remicade)

C  Etanercept (Enbrel)

D  Methotrexate (Rheumatrex)

A  jaw locking

B  widespread chronic pain

C  butterfly facial rash

D  Heberden nodes

A  low back pain

B  red, butterfly-shaped facial rash

C  increased urine output

D  patchy hair loss on the scalp

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

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

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

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

A  penicillamine

B  prednisone

C  methotrexate

D  colchicine

A  erythema and edema over the affected joint

B  anorexia and weight loss

C  fever and malaise

D  joint stiffness that decreases with activity

A  citrus fruits

B  green vegetables

C  fresh fish

D  organ meats

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

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

C  “It will get better and worse again.”

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

A  allopurinol

B  anturane

C  colchicine

D  probenecid

A  diclofenac

B  cyclophosphamide

C  azathioprine

D  hydroxychloroquine

A  Piroxicam

B  Tolmetin sodium

C  Celecoxib

D  Ibuprofen

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

B  affects young males.

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

D  the most common and frequently disabling of joint disorders.

A  Increased red blood cell count

B  Increased albumin levels

C  Elevated erythrocyte sedimentation rate

D  Increased C4 complement

A  increased fatigue

B  ability to perform activities of daily living (ADL)

C  a weight gain of 2 pounds

D  decreased joint pain

A  Shows increased joint flexibility

B  Has a weight gain of 5 pounds

C  Reports decreased joint pain

D  Reports ability to perform ADLs

A  It is important to monitor for injection site reactions.

B  The medication is given at room temperature.

C  The medication is administered intramuscularly.

D  The client should continue taking the medication if fever occurs

A  Arthroplasty

B  Hemarthrosis

C  Ankylosis

D  Diarthrodial

A  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

B  administration of opioids for pain control.

C  administration of monthly intra-articular injections of corticosteroids.

D  vigorous physical therapy for the joints.

A  Fibromyalgia

B  Rheumatoid arthritis

C  Osteoarthritis

D  Gout

A  Nonsteroidal anti-inflammatory drugs

B  Opioid therapy

C  Surgery

D  Ice packs

A  Pannus

B  Joint effusion

C  Tophi

D  Subchondral bone

A  “SLE is a very serious systemic disorder.”

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

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

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

A  calcium gluconate

B  aspirin

C  colchicine

D  furosemide