Chapter 38 Quiz

A   allopurinol

B  adalimumab

C  methotrexate

D  etanercept

A  applications of ice

B  regular exercise and stress reduction

C  avoiding caffeine and alcohol

D  encouraging the client to eat a healthy diet

A   jogging

B  running on a treadmill

C  weight lifting

D  t’ai chi

A  small joint involvement

B  early morning stiffness

C  joint pain that diminishes with rest

D  subcutaneous nodules

A  Computed tomography (CT)

B  Bone scan

C  Magnetic resonance imaging (MRI)

D  Muscle biopsy

A  It is diagnostic for Sjögren’s syndrome.

B  It is diagnostic for systemic lupus erythematosus.

C  It is suggestive of rheumatoid arthritis.

D  It is specific for rheumatoid arthritis.

A  Assistive devices

B  Safe exercise

C  Medication dosages and side effects

D  Narcotic safety

E  Dressing changes

A  Pannus

B  Ankylosis

C  Synovitis

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  Scleroderma

C  Rheumatoid arthritis

D  Systemic lupus erythematosus

A  Subchondral bone

B  Tophi

C  Pannus

D  Joint effusion

A  Ankylosis

B  Diarthrodial

C  Hemarthrosis

D  Arthroplasty

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

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

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

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

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

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

A  The fluid will be clear and pale.

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

C  The fluid will be straw colored.

D  The amount of fluid will be scant in volume.

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

B  all have the same type of symptoms.

C  rarely respond to treatment.

D  will eventually lose their ability to walk.

A  After the client has a diagnostic test

B  After cool compresses have been applied to the hands

C  First thing in the morning when the client wakes

D  After the client has had a warm paraffin hand bath

A  Kidney

B  Skin

C  Brain

D  Lung

A  Tenorrhaphy

B  Osteotomy

C  Synovectomy

D   Arthrodesis

A  Performing meticulous skin care

B  Administering ordered analgesics and monitoring their effects

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

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

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

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

C  Cold therapy

D  Acupuncture

A  obesity

B  congenital deformity

C  trauma

D  age

A  Sjögren’s syndrome

B  Reiter’s syndrome

C  Raynaud’s phenomenon

D  Ankylosing spondylitis

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

B  Avoid sunlight and ultraviolet radiation.

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

D  Pace activities.

A  eating organ meats and sardines

B  frequently ingesting salicylates

C  high carbohydrate intake

D   frequently drinking coffee

A  reddened

B  tender to the touch

C  nonmovable

D  located over bony prominence

A  Behavioral changes

B  Hypertension

C  Chest pain

D  Decreased cognitive ability

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 after performing morning exercises to loosen up.”

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

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

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

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

B  “Monitor your body temperature.”

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

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

A  c. 0.32 mmol/L

B  b. 0.24 mmol/L/

C  a. 0.19mmol/L

D  d. 0.40 mmol/L

A  Hydrotherapy

B  Colchicine

C  Physical therapy and exercise

D  Allopurinol

A  Osteoarthritis (OA)

B  Systemic lupus erythematous (SLE)

C  Rheumatoid arthritis (RA)

D   Scleroderma

A  Tingling in the arms

B  Increase in pain in the affected extremity

C  Intestinal cramping

D  Nausea and vomiting

E   Diarrhea

A  disease-modifying antirheumatic drug therapy

B  detection of systemic complications

C  strategies for remaining active

D  prevention of joint deformity

A  Knee

B  Ankle

C  Tarsal area

D  Metatarsophalangeal

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

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

A  “My finger joints are oddly shaped.”

B  “My legs feel weak.”

C  “I have pain in my hands.”

D  “I have trouble with my balance.”

A  prevent platelet aggregation.

B  prevent infection.

C   combat inflammation.

D  promote diuresis.

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

B  Take the medication with food to avoid stomach upset.

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 white blood count

C  Elevated uric acid levels

D  Decreased hemoglobin and hematocrit

A  Methotrexate (Rheumatrex)

B  Etanercept (Enbrel)

C  Infliximab (Remicade)

D  Methylprednisolone (Medrol)

A  Heberden nodes

B  jaw locking

C  butterfly facial rash

D  widespread chronic pain

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 antihypertensive drugs.”

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

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

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

A  colchicine

B  penicillamine

C  methotrexate

D  prednisone

A  fever and malaise

B  joint stiffness that decreases with activity

C  erythema and edema over the affected joint

D  anorexia and weight loss

A  citrus fruits

B  fresh fish

C  organ meats

D  green vegetables

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  probenecid

B  anturane

C  colchicine

D  allopurinol

A  diclofenac

B  azathioprine

C  cyclophosphamide

D  hydroxychloroquine

A  Celecoxib

B  Tolmetin sodium

C  Ibuprofen

D  Piroxicam

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

B  the most common and frequently disabling of joint disorders.

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

D  affects young males.

A  Elevated erythrocyte sedimentation rate

B  Increased C4 complement

C  Increased albumin levels

D  Increased red blood cell count

A  decreased joint pain

B  a weight gain of 2 pounds

C  increased fatigue

D  ability to perform activities of daily living (ADL)

A  Shows increased joint flexibility

B  Reports ability to perform ADLs

C  Reports decreased joint pain

D  Has a weight gain of 5 pounds

A  The medication is administered intramuscularly.

B  The client should continue taking the medication if fever occurs

C  The medication is given at room temperature.

D  It is important to monitor for injection site reactions.

A  Hemarthrosis

B  Arthroplasty

C  Ankylosis

D  Diarthrodial

A  vigorous physical therapy for the joints.

B  administration of opioids for pain control.

C  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

D  administration of monthly intra-articular injections of corticosteroids.

A  Rheumatoid arthritis

B  Fibromyalgia

C  Osteoarthritis

D  Gout

A  Surgery

B  Ice packs

C  Nonsteroidal anti-inflammatory drugs

D  Opioid therapy

A  Subchondral bone

B  Tophi

C  Pannus

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  calcium gluconate

B  furosemide

C  colchicine

D  aspirin