Chapter 38 Quiz

A  etanercept

B  methotrexate

C   allopurinol

D  adalimumab

A  encouraging the client to eat a healthy diet

B  regular exercise and stress reduction

C  avoiding caffeine and alcohol

D  applications of ice

A   jogging

B  running on a treadmill

C  weight lifting

D  t’ai chi

A  subcutaneous nodules

B  early morning stiffness

C  joint pain that diminishes with rest

D  small joint involvement

A  Computed tomography (CT)

B  Muscle biopsy

C  Bone scan

D  Magnetic resonance imaging (MRI)

A  It is diagnostic for Sjögren’s syndrome.

B  It is diagnostic for systemic lupus erythematosus.

C  It is specific for rheumatoid arthritis.

D  It is suggestive of rheumatoid arthritis.

A  Safe exercise

B  Medication dosages and side effects

C  Narcotic safety

D  Dressing changes

E  Assistive devices

A  Articulations

B  Ankylosis

C  Synovitis

D  Pannus

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  Subchondral bone

C  Tophi

D  Pannus

A  Arthroplasty

B  Ankylosis

C  Diarthrodial

D  Hemarthrosis

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

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

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

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

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 clear and pale.

D  The fluid will be straw colored.

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

B  rarely respond to treatment.

C  all have the same type of symptoms.

D  will eventually lose their ability to walk.

A  First thing in the morning when the client wakes

B  After the client has a diagnostic test

C  After the client has had a warm paraffin hand bath

D  After cool compresses have been applied to the hands

A  Brain

B  Lung

C  Skin

D  Kidney

A  Synovectomy

B  Osteotomy

C  Tenorrhaphy

D   Arthrodesis

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

B  Cold therapy

C  Acupuncture

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

A  age

B  congenital deformity

C  trauma

D  obesity

A  Reiter’s syndrome

B  Sjögren’s syndrome

C  Ankylosing spondylitis

D  Raynaud’s phenomenon

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  Pace activities.

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

A  frequently ingesting salicylates

B  eating organ meats and sardines

C   frequently drinking coffee

D  high carbohydrate intake

A  located over bony prominence

B  nonmovable

C  reddened

D  tender to the touch

A  Hypertension

B  Behavioral changes

C  Decreased cognitive ability

D  Chest pain

A  Encourage weight loss and an increase in aerobic activity

B  Provide an analgesic after exercise

C  Avoid the use of topical analgesics

D  Assess for gastrointestinal complications associated with COX-2 inhibitors

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

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

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  “Corticosteroids may be stopped when symptoms are relieved.”

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

C  “Monitor your body temperature.”

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

A  d. 0.40 mmol/L

B  c. 0.32 mmol/L

C  a. 0.19mmol/L

D  b. 0.24 mmol/L/

A  Physical therapy and exercise

B  Colchicine

C  Hydrotherapy

D  Allopurinol

A  Rheumatoid arthritis (RA)

B  Systemic lupus erythematous (SLE)

C  Osteoarthritis (OA)

D   Scleroderma

A  Intestinal cramping

B  Tingling in the arms

C  Increase in pain in the affected extremity

D  Nausea and vomiting

E   Diarrhea

A  prevention of joint deformity

B  disease-modifying antirheumatic drug therapy

C  strategies for remaining active

D  detection of systemic complications

A  Knee

B  Tarsal area

C  Metatarsophalangeal

D  Ankle

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

B   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.

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

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

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  “I have pain in my hands.”

B  “I have trouble with my balance.”

C  “My legs feel weak.”

D  “My finger joints are oddly shaped.”

A  prevent platelet aggregation.

B   combat inflammation.

C  prevent infection.

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  Elevated uric acid levels

B  Increased AST and ALT

C  Decreased hemoglobin and hematocrit

D  Elevated white blood count

A  Infliximab (Remicade)

B  Methotrexate (Rheumatrex)

C  Etanercept (Enbrel)

D  Methylprednisolone (Medrol)

A  Heberden nodes

B  jaw locking

C  widespread chronic pain

D  butterfly facial rash

A  increased urine output

B  patchy hair loss on the scalp

C  red, butterfly-shaped facial rash

D  low back pain

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

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

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

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

A  penicillamine

B  prednisone

C  colchicine

D  methotrexate

A  fever and malaise

B  erythema and edema over the affected joint

C  joint stiffness that decreases with activity

D  anorexia and weight loss

A  citrus fruits

B  fresh fish

C  organ meats

D  green vegetables

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

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

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

D  “It will get better and worse again.”

A  colchicine

B  probenecid

C  anturane

D  allopurinol

A  hydroxychloroquine

B  azathioprine

C  diclofenac

D  cyclophosphamide

A  Celecoxib

B  Tolmetin sodium

C  Piroxicam

D  Ibuprofen

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

B  the most common and frequently disabling of joint disorders.

C  affects young males.

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

A  Elevated erythrocyte sedimentation rate

B  Increased albumin levels

C  Increased C4 complement

D  Increased red blood cell count

A  decreased joint pain

B  increased fatigue

C  ability to perform activities of daily living (ADL)

D  a weight gain of 2 pounds

A  Reports decreased joint pain

B  Has a weight gain of 5 pounds

C  Reports ability to perform ADLs

D  Shows increased joint flexibility

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  Ankylosis

B  Hemarthrosis

C  Arthroplasty

D  Diarthrodial

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  Fibromyalgia

B  Osteoarthritis

C  Gout

D  Rheumatoid arthritis

A  Nonsteroidal anti-inflammatory drugs

B  Surgery

C  Ice packs

D  Opioid therapy

A  Joint effusion

B  Subchondral bone

C  Pannus

D  Tophi

A  “SLE is a very serious systemic disorder.”

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

A  furosemide

B  aspirin

C  calcium gluconate

D  colchicine