Chapter 38 Quiz

A  adalimumab

B  methotrexate

C  etanercept

D   allopurinol

A  regular exercise and stress reduction

B  encouraging the client to eat a healthy diet

C  applications of ice

D  avoiding caffeine and alcohol

A   jogging

B  weight lifting

C  t’ai chi

D  running on a treadmill

A  small joint involvement

B  subcutaneous nodules

C  joint pain that diminishes with rest

D  early morning stiffness

A  Magnetic resonance imaging (MRI)

B  Computed tomography (CT)

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  Assistive devices

C  Medication dosages and side effects

D  Dressing changes

E  Safe exercise

A  Ankylosis

B  Synovitis

C  Pannus

D  Articulations

A  Perform aerobic exercises.

B  Maintain complete bed rest.

C  Keep shifting weight from one foot to the other.

D  Maintain good posture.

A  Polymyalgia rheumatic

B  Systemic lupus erythematosus

C  Rheumatoid arthritis

D  Scleroderma

A  Tophi

B  Joint effusion

C  Pannus

D  Subchondral bone

A  Hemarthrosis

B  Arthroplasty

C  Diarthrodial

D  Ankylosis

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

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

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

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

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

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

A  The amount of fluid will be scant in volume.

B  The fluid will be straw colored.

C  The fluid will be clear and pale.

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

A  all have the same type of symptoms.

B  rarely respond to treatment.

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

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  Lung

B  Brain

C  Skin

D  Kidney

A  Synovectomy

B  Osteotomy

C   Arthrodesis

D  Tenorrhaphy

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  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  congenital deformity

C  obesity

D  trauma

A  Sjögren’s syndrome

B  Ankylosing spondylitis

C  Raynaud’s phenomenon

D  Reiter’s syndrome

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

B  Pace activities.

C  Avoid sunlight and ultraviolet radiation.

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

A  high carbohydrate intake

B  eating organ meats and sardines

C  frequently ingesting salicylates

D   frequently drinking coffee

A  tender to the touch

B  located over bony prominence

C  nonmovable

D  reddened

A  Chest pain

B  Hypertension

C  Decreased cognitive ability

D  Behavioral changes

A  Encourage weight loss and an increase in aerobic activity

B  Avoid the use of topical analgesics

C  Provide an analgesic after exercise

D  Assess for gastrointestinal complications associated with COX-2 inhibitors

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

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

B  “Monitor your body temperature.”

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  a. 0.19mmol/L

C  b. 0.24 mmol/L/

D  d. 0.40 mmol/L

A  Hydrotherapy

B  Colchicine

C  Allopurinol

D  Physical therapy and exercise

A  Rheumatoid arthritis (RA)

B  Osteoarthritis (OA)

C  Systemic lupus erythematous (SLE)

D   Scleroderma

A  Intestinal cramping

B  Tingling in the arms

C  Nausea and vomiting

D  Increase in pain in the affected extremity

E   Diarrhea

A  prevention of joint deformity

B  disease-modifying antirheumatic drug therapy

C  detection of systemic complications

D  strategies for remaining active

A  Metatarsophalangeal

B  Tarsal area

C  Knee

D  Ankle

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

C   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

A  “My finger joints are oddly shaped.”

B  “I have trouble with my balance.”

C  “I have pain in my hands.”

D  “My legs feel weak.”

A  prevent infection.

B  promote diuresis.

C   combat inflammation.

D  prevent platelet aggregation.

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

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

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

D  Take the medication with food to avoid stomach upset.

A  Elevated white blood count

B  Elevated uric acid levels

C  Decreased hemoglobin and hematocrit

D  Increased AST and ALT

A  Etanercept (Enbrel)

B  Methotrexate (Rheumatrex)

C  Infliximab (Remicade)

D  Methylprednisolone (Medrol)

A  Heberden nodes

B  butterfly facial rash

C  jaw locking

D  widespread chronic pain

A  patchy hair loss on the scalp

B  low back pain

C  increased urine output

D  red, butterfly-shaped facial rash

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 antineoplastic drugs.”

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

A  colchicine

B  methotrexate

C  penicillamine

D  prednisone

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  organ meats

D  fresh fish

A  “It will get better and worse again.”

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

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

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

A  allopurinol

B  colchicine

C  probenecid

D  anturane

A  hydroxychloroquine

B  cyclophosphamide

C  azathioprine

D  diclofenac

A  Piroxicam

B  Celecoxib

C  Tolmetin sodium

D  Ibuprofen

A  the most common and frequently disabling of joint disorders.

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

C  affects young males.

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

A  Increased albumin levels

B  Increased red blood cell count

C  Elevated erythrocyte sedimentation rate

D  Increased C4 complement

A  increased fatigue

B  a weight gain of 2 pounds

C  ability to perform activities of daily living (ADL)

D  decreased joint pain

A  Reports ability to perform ADLs

B  Has a weight gain of 5 pounds

C  Reports decreased joint pain

D  Shows increased joint flexibility

A  The medication is administered intramuscularly.

B  It is important to monitor for injection site reactions.

C  The medication is given at room temperature.

D  The client should continue taking the medication if fever occurs

A  Diarthrodial

B  Hemarthrosis

C  Ankylosis

D  Arthroplasty

A  administration of opioids for pain control.

B  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

C  vigorous physical therapy for the joints.

D  administration of monthly intra-articular injections of corticosteroids.

A  Rheumatoid arthritis

B  Osteoarthritis

C  Gout

D  Fibromyalgia

A  Opioid therapy

B  Ice packs

C  Nonsteroidal anti-inflammatory drugs

D  Surgery

A  Tophi

B  Pannus

C  Joint effusion

D  Subchondral bone

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

B  “SLE is a very serious systemic disorder.”

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

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

A  colchicine

B  furosemide

C  aspirin

D  calcium gluconate