Chapter 38 Quiz

A  etanercept

B   allopurinol

C  adalimumab

D  methotrexate

A  regular exercise and stress reduction

B  applications of ice

C  encouraging the client to eat a healthy diet

D  avoiding caffeine and alcohol

A  weight lifting

B  t’ai chi

C   jogging

D  running on a treadmill

A  small joint involvement

B  early morning stiffness

C  subcutaneous nodules

D  joint pain that diminishes with rest

A  Muscle biopsy

B  Computed tomography (CT)

C  Bone scan

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  Safe exercise

B  Dressing changes

C  Assistive devices

D  Narcotic safety

E  Medication dosages and side effects

A  Pannus

B  Synovitis

C  Articulations

D  Ankylosis

A  Keep shifting weight from one foot to the other.

B  Maintain good posture.

C  Perform aerobic exercises.

D  Maintain complete bed rest.

A  Scleroderma

B  Rheumatoid arthritis

C  Systemic lupus erythematosus

D  Polymyalgia rheumatic

A  Joint effusion

B  Pannus

C  Subchondral bone

D  Tophi

A  Hemarthrosis

B  Ankylosis

C  Diarthrodial

D  Arthroplasty

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

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

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  “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 fluid will be clear and pale.

B  The amount of fluid will be scant in volume.

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

D  The fluid will be straw colored.

A  rarely respond to treatment.

B  all have the same type of symptoms.

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

D  will eventually lose their ability to walk.

A  After the client has a diagnostic test

B  After the client has had a warm paraffin hand bath

C  First thing in the morning when the client wakes

D  After cool compresses have been applied to the hands

A  Brain

B  Kidney

C  Skin

D  Lung

A   Arthrodesis

B  Osteotomy

C  Synovectomy

D  Tenorrhaphy

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

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  Performing meticulous skin care

A  Acupuncture

B  Cold therapy

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  Sjögren’s syndrome

B  Raynaud’s phenomenon

C  Reiter’s syndrome

D  Ankylosing spondylitis

A  Pace activities.

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

C  Avoid sunlight and ultraviolet radiation.

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

A   frequently drinking coffee

B  frequently ingesting salicylates

C  eating organ meats and sardines

D  high carbohydrate intake

A  tender to the touch

B  reddened

C  located over bony prominence

D  nonmovable

A  Behavioral changes

B  Hypertension

C  Decreased cognitive ability

D  Chest pain

A  Avoid the use of topical analgesics

B  Encourage weight loss and an increase in aerobic activity

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

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

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

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

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

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

D  “Monitor your body temperature.”

A  d. 0.40 mmol/L

B  a. 0.19mmol/L

C  c. 0.32 mmol/L

D  b. 0.24 mmol/L/

A  Colchicine

B  Hydrotherapy

C  Physical therapy and exercise

D  Allopurinol

A   Scleroderma

B  Rheumatoid arthritis (RA)

C  Systemic lupus erythematous (SLE)

D  Osteoarthritis (OA)

A  Increase in pain in the affected extremity

B  Intestinal cramping

C  Tingling in the arms

D   Diarrhea

E  Nausea and vomiting

A  strategies for remaining active

B  disease-modifying antirheumatic drug therapy

C  prevention of joint deformity

D  detection of systemic complications

A  Knee

B  Metatarsophalangeal

C  Ankle

D  Tarsal area

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

A  “My finger joints are oddly shaped.”

B  “My legs feel weak.”

C  “I have trouble with my balance.”

D  “I have pain in my hands.”

A  promote diuresis.

B   combat inflammation.

C  prevent platelet aggregation.

D  prevent infection.

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

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

C  Take the medication with food to avoid stomach upset.

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

A  Increased AST and ALT

B  Elevated uric acid levels

C  Decreased hemoglobin and hematocrit

D  Elevated white blood count

A  Etanercept (Enbrel)

B  Methylprednisolone (Medrol)

C  Infliximab (Remicade)

D  Methotrexate (Rheumatrex)

A  jaw locking

B  butterfly facial rash

C  Heberden nodes

D  widespread chronic pain

A  increased urine output

B  red, butterfly-shaped facial rash

C  low back pain

D  patchy hair loss on the scalp

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

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

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

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

A  penicillamine

B  colchicine

C  prednisone

D  methotrexate

A  erythema and edema over the affected joint

B  fever and malaise

C  anorexia and weight loss

D  joint stiffness that decreases with activity

A  green vegetables

B  organ meats

C  fresh fish

D  citrus fruits

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

B  “It will get better and worse again.”

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

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

A  colchicine

B  probenecid

C  allopurinol

D  anturane

A  cyclophosphamide

B  azathioprine

C  hydroxychloroquine

D  diclofenac

A  Tolmetin sodium

B  Ibuprofen

C  Piroxicam

D  Celecoxib

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  Increased red blood cell count

C  Elevated erythrocyte sedimentation rate

D  Increased albumin levels

A  ability to perform activities of daily living (ADL)

B  increased fatigue

C  decreased joint pain

D  a weight gain of 2 pounds

A  Shows increased joint flexibility

B  Reports ability to perform ADLs

C  Has a weight gain of 5 pounds

D  Reports decreased joint pain

A  The medication is administered intramuscularly.

B  The client should continue taking the medication if fever occurs

C  It is important to monitor for injection site reactions.

D  The medication is given at room temperature.

A  Arthroplasty

B  Diarthrodial

C  Hemarthrosis

D  Ankylosis

A  administration of monthly intra-articular injections of corticosteroids.

B  vigorous physical therapy for the joints.

C  administration of opioids for pain control.

D  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

A  Osteoarthritis

B  Rheumatoid arthritis

C  Gout

D  Fibromyalgia

A  Ice packs

B  Surgery

C  Opioid therapy

D  Nonsteroidal anti-inflammatory drugs

A  Tophi

B  Joint effusion

C  Subchondral bone

D  Pannus

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

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

C  “SLE is a very serious systemic disorder.”

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

A  aspirin

B  calcium gluconate

C  colchicine

D  furosemide