Chapter 38 Quiz

A  methotrexate

B  etanercept

C   allopurinol

D  adalimumab

A  encouraging the client to eat a healthy diet

B  avoiding caffeine and alcohol

C  regular exercise and stress reduction

D  applications of ice

A  running on a treadmill

B  weight lifting

C  t’ai chi

D   jogging

A  early morning stiffness

B  joint pain that diminishes with rest

C  subcutaneous nodules

D  small joint involvement

A  Magnetic resonance imaging (MRI)

B  Computed tomography (CT)

C  Bone scan

D  Muscle biopsy

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  Narcotic safety

B  Dressing changes

C  Assistive devices

D  Medication dosages and side effects

E  Safe exercise

A  Synovitis

B  Ankylosis

C  Pannus

D  Articulations

A  Maintain complete bed rest.

B  Maintain good posture.

C  Keep shifting weight from one foot to the other.

D  Perform aerobic exercises.

A  Scleroderma

B  Rheumatoid arthritis

C  Polymyalgia rheumatic

D  Systemic lupus erythematosus

A  Joint effusion

B  Subchondral bone

C  Tophi

D  Pannus

A  Hemarthrosis

B  Ankylosis

C  Arthroplasty

D  Diarthrodial

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

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

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

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

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

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

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

B  The fluid will be straw colored.

C  The amount of fluid will be scant in volume.

D  The fluid will be clear and pale.

A  will eventually lose their ability to walk.

B  rarely respond to treatment.

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

D  all have the same type of symptoms.

A  After cool compresses have been applied to the hands

B  After the client has a diagnostic test

C  After the client has had a warm paraffin hand bath

D  First thing in the morning when the client wakes

A  Lung

B  Kidney

C  Brain

D  Skin

A   Arthrodesis

B  Tenorrhaphy

C  Osteotomy

D  Synovectomy

A  Administering ordered analgesics and monitoring their effects

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

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

D  Performing meticulous skin care

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

B  Cold therapy

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

D  Acupuncture

A  congenital deformity

B  obesity

C  age

D  trauma

A  Raynaud’s phenomenon

B  Reiter’s syndrome

C  Sjögren’s syndrome

D  Ankylosing spondylitis

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

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

C  Pace activities.

D  Avoid sunlight and ultraviolet radiation.

A   frequently drinking coffee

B  eating organ meats and sardines

C  high carbohydrate intake

D  frequently ingesting salicylates

A  located over bony prominence

B  tender to the touch

C  nonmovable

D  reddened

A  Behavioral changes

B  Chest pain

C  Hypertension

D  Decreased cognitive ability

A  Assess for gastrointestinal complications associated with COX-2 inhibitors

B  Encourage weight loss and an increase in aerobic activity

C  Provide an analgesic after exercise

D  Avoid the use of topical analgesics

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

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

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

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

A  “Monitor your body temperature.”

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

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

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

A  c. 0.32 mmol/L

B  b. 0.24 mmol/L/

C  d. 0.40 mmol/L

D  a. 0.19mmol/L

A  Allopurinol

B  Hydrotherapy

C  Colchicine

D  Physical therapy and exercise

A  Osteoarthritis (OA)

B   Scleroderma

C  Rheumatoid arthritis (RA)

D  Systemic lupus erythematous (SLE)

A   Diarrhea

B  Tingling in the arms

C  Increase in pain in the affected extremity

D  Intestinal cramping

E  Nausea and vomiting

A  prevention of joint deformity

B  detection of systemic complications

C  strategies for remaining active

D  disease-modifying antirheumatic drug therapy

A  Tarsal area

B  Ankle

C  Metatarsophalangeal

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 in the evening before going to bed is beneficial.

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

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

C   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

A  “My legs feel weak.”

B  “I have pain in my hands.”

C  “My finger joints are oddly shaped.”

D  “I have trouble with my balance.”

A  promote diuresis.

B   combat inflammation.

C  prevent platelet aggregation.

D  prevent infection.

A  Take the medication with food to avoid stomach upset.

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

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

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

A  Decreased hemoglobin and hematocrit

B  Elevated uric acid levels

C  Elevated white blood count

D  Increased AST and ALT

A  Infliximab (Remicade)

B  Etanercept (Enbrel)

C  Methotrexate (Rheumatrex)

D  Methylprednisolone (Medrol)

A  widespread chronic pain

B  jaw locking

C  butterfly facial rash

D  Heberden nodes

A  patchy hair loss on the scalp

B  low back pain

C  red, butterfly-shaped facial rash

D  increased urine output

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

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

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

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

A  prednisone

B  methotrexate

C  penicillamine

D  colchicine

A  anorexia and weight loss

B  erythema and edema over the affected joint

C  fever and malaise

D  joint stiffness that decreases with activity

A  green vegetables

B  organ meats

C  fresh fish

D  citrus fruits

A  “It will get better and worse again.”

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

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

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

A  anturane

B  probenecid

C  allopurinol

D  colchicine

A  diclofenac

B  cyclophosphamide

C  azathioprine

D  hydroxychloroquine

A  Tolmetin sodium

B  Ibuprofen

C  Celecoxib

D  Piroxicam

A  the most common and frequently disabling of joint disorders.

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

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

D  affects young males.

A  Increased C4 complement

B  Increased albumin levels

C  Increased red blood cell count

D  Elevated erythrocyte sedimentation rate

A  increased fatigue

B  a weight gain of 2 pounds

C  ability to perform activities of daily living (ADL)

D  decreased joint pain

A  Has a weight gain of 5 pounds

B  Reports ability to perform ADLs

C  Shows increased joint flexibility

D  Reports decreased joint pain

A  The client should continue taking the medication if fever occurs

B  The medication is administered intramuscularly.

C  The medication is given at room temperature.

D  It is important to monitor for injection site reactions.

A  Arthroplasty

B  Ankylosis

C  Hemarthrosis

D  Diarthrodial

A  administration of monthly intra-articular injections of corticosteroids.

B  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

C  vigorous physical therapy for the joints.

D  administration of opioids for pain control.

A  Osteoarthritis

B  Gout

C  Rheumatoid arthritis

D  Fibromyalgia

A  Opioid therapy

B  Ice packs

C  Surgery

D  Nonsteroidal anti-inflammatory drugs

A  Pannus

B  Joint effusion

C  Subchondral bone

D  Tophi

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

B  “SLE is a very serious systemic disorder.”

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

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

A  furosemide

B  aspirin

C  colchicine

D  calcium gluconate