Chapter 38 Quiz

A   allopurinol

B  methotrexate

C  adalimumab

D  etanercept

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  t’ai chi

B   jogging

C  running on a treadmill

D  weight lifting

A  joint pain that diminishes with rest

B  small joint involvement

C  subcutaneous nodules

D  early morning stiffness

A  Computed tomography (CT)

B  Magnetic resonance imaging (MRI)

C  Bone scan

D  Muscle biopsy

A  It is diagnostic for systemic lupus erythematosus.

B  It is suggestive of rheumatoid arthritis.

C  It is specific for rheumatoid arthritis.

D  It is diagnostic for Sjögren’s syndrome.

A  Narcotic safety

B  Dressing changes

C  Assistive devices

D  Medication dosages and side effects

E  Safe exercise

A  Ankylosis

B  Articulations

C  Synovitis

D  Pannus

A  Maintain good posture.

B  Keep shifting weight from one foot to the other.

C  Perform aerobic exercises.

D  Maintain complete bed rest.

A  Polymyalgia rheumatic

B  Systemic lupus erythematosus

C  Rheumatoid arthritis

D  Scleroderma

A  Subchondral bone

B  Joint effusion

C  Pannus

D  Tophi

A  Hemarthrosis

B  Ankylosis

C  Diarthrodial

D  Arthroplasty

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

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

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

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

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

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

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

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

A  The amount of fluid will be scant in volume.

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

C  The fluid will be clear and pale.

D  The fluid will be straw colored.

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

B  rarely respond to treatment.

C  all have the same type of symptoms.

D  will eventually lose their ability to walk.

A  After the client has had a warm paraffin hand bath

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 a diagnostic test

A  Kidney

B  Skin

C  Brain

D  Lung

A  Synovectomy

B  Osteotomy

C  Tenorrhaphy

D   Arthrodesis

A  Administering ordered analgesics and monitoring their effects

B  Performing meticulous skin care

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

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

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

B  Acupuncture

C  Cold therapy

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

A  age

B  congenital deformity

C  trauma

D  obesity

A  Ankylosing spondylitis

B  Sjögren’s syndrome

C  Raynaud’s phenomenon

D  Reiter’s syndrome

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  high carbohydrate intake

B  frequently ingesting salicylates

C  eating organ meats and sardines

D   frequently drinking coffee

A  located over bony prominence

B  tender to the touch

C  reddened

D  nonmovable

A  Behavioral changes

B  Chest pain

C  Decreased cognitive ability

D  Hypertension

A  Encourage weight loss and an increase in aerobic activity

B  Assess for gastrointestinal complications associated with COX-2 inhibitors

C  Avoid the use of topical analgesics

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

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

A  “Monitor your body temperature.”

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

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

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

A  c. 0.32 mmol/L

B  a. 0.19mmol/L

C  d. 0.40 mmol/L

D  b. 0.24 mmol/L/

A  Hydrotherapy

B  Allopurinol

C  Colchicine

D  Physical therapy and exercise

A  Rheumatoid arthritis (RA)

B  Osteoarthritis (OA)

C  Systemic lupus erythematous (SLE)

D   Scleroderma

A   Diarrhea

B  Nausea and vomiting

C  Tingling in the arms

D  Intestinal cramping

E  Increase in pain in the affected extremity

A  prevention of joint deformity

B  strategies for remaining active

C  detection of systemic complications

D  disease-modifying antirheumatic drug therapy

A  Knee

B  Tarsal area

C  Ankle

D  Metatarsophalangeal

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

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

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

D   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.

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

A  “I have trouble with my balance.”

B  “My finger joints are oddly shaped.”

C  “My legs feel weak.”

D  “I have pain in my hands.”

A  prevent platelet aggregation.

B  prevent infection.

C  promote diuresis.

D   combat inflammation.

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

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

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

D  Take the medication with food to avoid stomach upset.

A  Decreased hemoglobin and hematocrit

B  Elevated uric acid levels

C  Increased AST and ALT

D  Elevated white blood count

A  Methotrexate (Rheumatrex)

B  Methylprednisolone (Medrol)

C  Infliximab (Remicade)

D  Etanercept (Enbrel)

A  butterfly facial rash

B  widespread chronic pain

C  jaw locking

D  Heberden nodes

A  low back pain

B  increased urine output

C  red, butterfly-shaped facial rash

D  patchy hair loss on the scalp

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

A  prednisone

B  methotrexate

C  penicillamine

D  colchicine

A  fever and malaise

B  erythema and edema over the affected joint

C  joint stiffness that decreases with activity

D  anorexia and weight loss

A  citrus fruits

B  fresh fish

C  organ meats

D  green vegetables

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

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

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

D  “It will get better and worse again.”

A  probenecid

B  allopurinol

C  anturane

D  colchicine

A  diclofenac

B  cyclophosphamide

C  hydroxychloroquine

D  azathioprine

A  Piroxicam

B  Celecoxib

C  Ibuprofen

D  Tolmetin sodium

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 young males.

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

A  Increased C4 complement

B  Increased albumin levels

C  Elevated erythrocyte sedimentation rate

D  Increased red blood cell count

A  decreased joint pain

B  ability to perform activities of daily living (ADL)

C  increased fatigue

D  a weight gain of 2 pounds

A  Reports decreased joint pain

B  Reports ability to perform ADLs

C  Has a weight gain of 5 pounds

D  Shows increased joint flexibility

A  The client should continue taking the medication if fever occurs

B  The medication is given at room temperature.

C  It is important to monitor for injection site reactions.

D  The medication is administered intramuscularly.

A  Ankylosis

B  Arthroplasty

C  Hemarthrosis

D  Diarthrodial

A  vigorous physical therapy for the joints.

B  administration of monthly intra-articular injections of corticosteroids.

C  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

D  administration of opioids for pain control.

A  Gout

B  Osteoarthritis

C  Rheumatoid arthritis

D  Fibromyalgia

A  Opioid therapy

B  Surgery

C  Nonsteroidal anti-inflammatory drugs

D  Ice packs

A  Tophi

B  Pannus

C  Subchondral bone

D  Joint effusion

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

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

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

D  “SLE is a very serious systemic disorder.”

A  colchicine

B  furosemide

C  aspirin

D  calcium gluconate