Chapter 38 Quiz

A  etanercept

B   allopurinol

C  methotrexate

D  adalimumab

A  encouraging the client to eat a healthy diet

B  regular exercise and stress reduction

C  applications of ice

D  avoiding caffeine and alcohol

A  t’ai chi

B   jogging

C  weight lifting

D  running on a treadmill

A  small joint involvement

B  subcutaneous nodules

C  joint pain that diminishes with rest

D  early morning stiffness

A  Computed tomography (CT)

B  Bone scan

C  Magnetic resonance imaging (MRI)

D  Muscle biopsy

A  It is diagnostic for systemic lupus erythematosus.

B  It is diagnostic for Sjögren’s syndrome.

C  It is specific for rheumatoid arthritis.

D  It is suggestive of rheumatoid arthritis.

A  Narcotic safety

B  Dressing changes

C  Safe exercise

D  Medication dosages and side effects

E  Assistive devices

A  Synovitis

B  Pannus

C  Ankylosis

D  Articulations

A  Maintain complete bed rest.

B  Perform aerobic exercises.

C  Keep shifting weight from one foot to the other.

D  Maintain good posture.

A  Systemic lupus erythematosus

B  Scleroderma

C  Rheumatoid arthritis

D  Polymyalgia rheumatic

A  Pannus

B  Tophi

C  Subchondral bone

D  Joint effusion

A  Ankylosis

B  Diarthrodial

C  Hemarthrosis

D  Arthroplasty

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

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

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

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

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

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

A  The fluid will be straw colored.

B  The fluid will be clear and pale.

C  The amount of fluid will be scant in volume.

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

A  will eventually lose their ability to walk.

B  all have the same type of symptoms.

C  rarely respond to treatment.

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

A  After the client has a diagnostic test

B  After cool compresses have been applied to the hands

C  After the client has had a warm paraffin hand bath

D  First thing in the morning when the client wakes

A  Brain

B  Skin

C  Lung

D  Kidney

A  Osteotomy

B   Arthrodesis

C  Tenorrhaphy

D  Synovectomy

A  Performing meticulous skin care

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

C  Administering ordered analgesics and monitoring their effects

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

A  Cold therapy

B  Acupuncture

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

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

A  trauma

B  age

C  congenital deformity

D  obesity

A  Ankylosing spondylitis

B  Sjögren’s syndrome

C  Reiter’s syndrome

D  Raynaud’s phenomenon

A  Avoid sunlight and ultraviolet radiation.

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

C  Pace activities.

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

A  eating organ meats and sardines

B   frequently drinking coffee

C  high carbohydrate intake

D  frequently ingesting salicylates

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  Provide an analgesic after exercise

C  Assess for gastrointestinal complications associated with COX-2 inhibitors

D  Avoid the use of topical analgesics

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

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

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

B  “Monitor your body temperature.”

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

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

A  d. 0.40 mmol/L

B  b. 0.24 mmol/L/

C  a. 0.19mmol/L

D  c. 0.32 mmol/L

A  Allopurinol

B  Hydrotherapy

C  Physical therapy and exercise

D  Colchicine

A   Scleroderma

B  Rheumatoid arthritis (RA)

C  Osteoarthritis (OA)

D  Systemic lupus erythematous (SLE)

A  Nausea and vomiting

B  Intestinal cramping

C   Diarrhea

D  Tingling in the arms

E  Increase in pain in the affected extremity

A  strategies for remaining active

B  disease-modifying antirheumatic drug therapy

C  prevention of joint deformity

D  detection of systemic complications

A  Tarsal area

B  Metatarsophalangeal

C  Knee

D  Ankle

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

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

C   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.

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

A   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

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

A  “My legs feel weak.”

B  “My finger joints are oddly shaped.”

C  “I have pain in my hands.”

D  “I have trouble with my balance.”

A  prevent platelet aggregation.

B   combat inflammation.

C  promote diuresis.

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

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

A  Elevated uric acid levels

B  Decreased hemoglobin and hematocrit

C  Elevated white blood count

D  Increased AST and ALT

A  Infliximab (Remicade)

B  Etanercept (Enbrel)

C  Methotrexate (Rheumatrex)

D  Methylprednisolone (Medrol)

A  Heberden nodes

B  butterfly facial rash

C  jaw locking

D  widespread chronic pain

A  red, butterfly-shaped facial rash

B  low back pain

C  increased urine output

D  patchy hair loss on the scalp

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 anti-inflammatory drugs.”

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

A  prednisone

B  penicillamine

C  methotrexate

D  colchicine

A  joint stiffness that decreases with activity

B  erythema and edema over the affected joint

C  anorexia and weight loss

D  fever and malaise

A  green vegetables

B  fresh fish

C  organ meats

D  citrus fruits

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

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

C  “It will get better and worse again.”

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

A  colchicine

B  allopurinol

C  probenecid

D  anturane

A  hydroxychloroquine

B  cyclophosphamide

C  azathioprine

D  diclofenac

A  Tolmetin sodium

B  Ibuprofen

C  Celecoxib

D  Piroxicam

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

B  affects young males.

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

D  the most common and frequently disabling of joint disorders.

A  Increased red blood cell count

B  Increased C4 complement

C  Elevated erythrocyte sedimentation rate

D  Increased albumin levels

A  increased fatigue

B  decreased joint pain

C  ability to perform activities of daily living (ADL)

D  a weight gain of 2 pounds

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  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  Arthroplasty

B  Diarthrodial

C  Hemarthrosis

D  Ankylosis

A  vigorous physical therapy for the joints.

B  administration of opioids for pain control.

C  administration of monthly intra-articular injections of corticosteroids.

D  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

A  Fibromyalgia

B  Osteoarthritis

C  Rheumatoid arthritis

D  Gout

A  Nonsteroidal anti-inflammatory drugs

B  Ice packs

C  Opioid therapy

D  Surgery

A  Tophi

B  Subchondral bone

C  Joint effusion

D  Pannus

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

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

A  colchicine

B  aspirin

C  calcium gluconate

D  furosemide