Chapter 38 Quiz

A   allopurinol

B  etanercept

C  methotrexate

D  adalimumab

A  encouraging the client to eat a healthy diet

B  avoiding caffeine and alcohol

C  applications of ice

D  regular exercise and stress reduction

A  running on a treadmill

B   jogging

C  weight lifting

D  t’ai chi

A  early morning stiffness

B  small joint involvement

C  joint pain that diminishes with rest

D  subcutaneous nodules

A  Bone scan

B  Muscle biopsy

C  Computed tomography (CT)

D  Magnetic resonance imaging (MRI)

A  It is diagnostic for Sjögren’s syndrome.

B  It is specific for rheumatoid arthritis.

C  It is diagnostic for systemic lupus erythematosus.

D  It is suggestive of rheumatoid arthritis.

A  Assistive devices

B  Narcotic safety

C  Dressing changes

D  Medication dosages and side effects

E  Safe exercise

A  Ankylosis

B  Pannus

C  Articulations

D  Synovitis

A  Perform aerobic exercises.

B  Maintain complete bed rest.

C  Keep shifting weight from one foot to the other.

D  Maintain good posture.

A  Scleroderma

B  Systemic lupus erythematosus

C  Polymyalgia rheumatic

D  Rheumatoid arthritis

A  Subchondral bone

B  Joint effusion

C  Tophi

D  Pannus

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

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

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

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

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

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

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

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 straw colored.

D  The fluid will be clear and pale.

A  will eventually lose their ability to walk.

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

C  rarely respond to treatment.

D  all have the same type of symptoms.

A  First thing in the morning when the client wakes

B  After cool compresses have been applied to the hands

C  After the client has had a warm paraffin hand bath

D  After the client has a diagnostic test

A  Skin

B  Lung

C  Brain

D  Kidney

A  Tenorrhaphy

B  Synovectomy

C  Osteotomy

D   Arthrodesis

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

B  Administering ordered analgesics and monitoring their effects

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

D  Performing meticulous skin care

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

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

C  Cold therapy

D  Acupuncture

A  age

B  trauma

C  obesity

D  congenital deformity

A  Sjögren’s syndrome

B  Raynaud’s phenomenon

C  Reiter’s syndrome

D  Ankylosing spondylitis

A  Avoid sunlight and ultraviolet radiation.

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

C  Pace activities.

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

A   frequently drinking coffee

B  high carbohydrate intake

C  eating organ meats and sardines

D  frequently ingesting salicylates

A  nonmovable

B  reddened

C  tender to the touch

D  located over bony prominence

A  Decreased cognitive ability

B  Hypertension

C  Behavioral changes

D  Chest pain

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 morning, when pain and stiffness are least pronounced.”

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

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  “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  c. 0.32 mmol/L

B  b. 0.24 mmol/L/

C  a. 0.19mmol/L

D  d. 0.40 mmol/L

A  Allopurinol

B  Physical therapy and exercise

C  Colchicine

D  Hydrotherapy

A  Osteoarthritis (OA)

B   Scleroderma

C  Rheumatoid arthritis (RA)

D  Systemic lupus erythematous (SLE)

A  Increase in pain in the affected extremity

B   Diarrhea

C  Tingling in the arms

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  Metatarsophalangeal

C  Ankle

D  Knee

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

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

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

A  Elevated uric acid levels

B  Elevated white blood count

C  Decreased hemoglobin and hematocrit

D  Increased AST and ALT

A  Methylprednisolone (Medrol)

B  Etanercept (Enbrel)

C  Infliximab (Remicade)

D  Methotrexate (Rheumatrex)

A  butterfly facial rash

B  widespread chronic pain

C  jaw locking

D  Heberden nodes

A  red, butterfly-shaped facial rash

B  patchy hair loss on the scalp

C  low back pain

D  increased urine output

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

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

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

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

A  prednisone

B  methotrexate

C  penicillamine

D  colchicine

A  joint stiffness that decreases with activity

B  erythema and edema over the affected joint

C  fever and malaise

D  anorexia and weight loss

A  fresh fish

B  citrus fruits

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  anturane

B  probenecid

C  allopurinol

D  colchicine

A  diclofenac

B  hydroxychloroquine

C  cyclophosphamide

D  azathioprine

A  Celecoxib

B  Tolmetin sodium

C  Piroxicam

D  Ibuprofen

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  Increased C4 complement

B  Elevated erythrocyte sedimentation rate

C  Increased albumin levels

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  Has a weight gain of 5 pounds

B  Reports decreased joint pain

C  Reports ability to perform ADLs

D  Shows increased joint flexibility

A  The medication is administered intramuscularly.

B  The medication is given at room temperature.

C  It is important to monitor for injection site reactions.

D  The client should continue taking the medication if fever occurs

A  Diarthrodial

B  Arthroplasty

C  Hemarthrosis

D  Ankylosis

A  administration of opioids for pain control.

B  administration of monthly intra-articular injections of corticosteroids.

C  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

D  vigorous physical therapy for the joints.

A  Osteoarthritis

B  Gout

C  Fibromyalgia

D  Rheumatoid arthritis

A  Opioid therapy

B  Nonsteroidal anti-inflammatory drugs

C  Surgery

D  Ice packs

A  Pannus

B  Tophi

C  Joint effusion

D  Subchondral bone

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

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

A  furosemide

B  aspirin

C  calcium gluconate

D  colchicine