Chapter 38 Quiz

A   allopurinol

B  methotrexate

C  adalimumab

D  etanercept

A  applications of ice

B  avoiding caffeine and alcohol

C  regular exercise and stress reduction

D  encouraging the client to eat a healthy diet

A  t’ai chi

B  weight lifting

C  running on a treadmill

D   jogging

A  small joint involvement

B  joint pain that diminishes with rest

C  early morning stiffness

D  subcutaneous nodules

A  Muscle biopsy

B  Computed tomography (CT)

C  Magnetic resonance imaging (MRI)

D  Bone scan

A  It is diagnostic for systemic lupus erythematosus.

B  It is diagnostic for Sjögren’s syndrome.

C  It is suggestive of rheumatoid arthritis.

D  It is specific for rheumatoid arthritis.

A  Dressing changes

B  Narcotic safety

C  Safe exercise

D  Assistive devices

E  Medication dosages and side effects

A  Ankylosis

B  Articulations

C  Pannus

D  Synovitis

A  Maintain complete bed rest.

B  Keep shifting weight from one foot to the other.

C  Perform aerobic exercises.

D  Maintain good posture.

A  Polymyalgia rheumatic

B  Systemic lupus erythematosus

C  Rheumatoid arthritis

D  Scleroderma

A  Tophi

B  Pannus

C  Joint effusion

D  Subchondral bone

A  Ankylosis

B  Arthroplasty

C  Hemarthrosis

D  Diarthrodial

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

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

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

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

A  The fluid will be clear and pale.

B  The fluid will be straw colored.

C  The amount of fluid will be scant in volume.

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

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

B  will eventually lose their ability to walk.

C  all have the same type of symptoms.

D  rarely respond to treatment.

A  After the client has had a warm paraffin hand bath

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 a diagnostic test

A  Skin

B  Brain

C  Lung

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  Cold therapy

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

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

D  Acupuncture

A  age

B  obesity

C  congenital deformity

D  trauma

A  Sjögren’s syndrome

B  Raynaud’s phenomenon

C  Reiter’s syndrome

D  Ankylosing spondylitis

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

B  Pace activities.

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

D  Avoid sunlight and ultraviolet radiation.

A  high carbohydrate intake

B  eating organ meats and sardines

C   frequently drinking coffee

D  frequently ingesting salicylates

A  reddened

B  located over bony prominence

C  nonmovable

D  tender to the touch

A  Hypertension

B  Chest pain

C  Decreased cognitive ability

D  Behavioral changes

A  Assess for gastrointestinal complications associated with COX-2 inhibitors

B  Encourage weight loss and an increase in aerobic activity

C  Avoid the use of topical analgesics

D  Provide an analgesic after exercise

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

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

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

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

A  “Monitor your body temperature.”

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

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

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

A  c. 0.32 mmol/L

B  d. 0.40 mmol/L

C  b. 0.24 mmol/L/

D  a. 0.19mmol/L

A  Colchicine

B  Hydrotherapy

C  Allopurinol

D  Physical therapy and exercise

A  Systemic lupus erythematous (SLE)

B  Osteoarthritis (OA)

C   Scleroderma

D  Rheumatoid arthritis (RA)

A  Increase in pain in the affected extremity

B  Intestinal cramping

C   Diarrhea

D  Nausea and vomiting

E  Tingling in the arms

A  strategies for remaining active

B  disease-modifying antirheumatic drug therapy

C  detection of systemic complications

D  prevention of joint deformity

A  Metatarsophalangeal

B  Tarsal area

C  Ankle

D  Knee

A   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.

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   Exercising in the evening before going to bed is beneficial.

A   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

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

A  “My finger joints are oddly shaped.”

B  “I have trouble with my balance.”

C  “My legs feel weak.”

D  “I have pain in my hands.”

A  promote diuresis.

B   combat inflammation.

C  prevent platelet aggregation.

D  prevent infection.

A  Take the medication with food to avoid stomach upset.

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

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

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

A  Increased AST and ALT

B  Elevated white blood count

C  Decreased hemoglobin and hematocrit

D  Elevated uric acid levels

A  Methylprednisolone (Medrol)

B  Methotrexate (Rheumatrex)

C  Etanercept (Enbrel)

D  Infliximab (Remicade)

A  Heberden nodes

B  jaw locking

C  widespread chronic pain

D  butterfly facial rash

A  low back pain

B  patchy hair loss on the scalp

C  red, butterfly-shaped facial rash

D  increased urine output

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

A  methotrexate

B  penicillamine

C  prednisone

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  green vegetables

B  organ meats

C  fresh fish

D  citrus fruits

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

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

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

D  “It will get better and worse again.”

A  colchicine

B  allopurinol

C  anturane

D  probenecid

A  azathioprine

B  cyclophosphamide

C  hydroxychloroquine

D  diclofenac

A  Ibuprofen

B  Tolmetin sodium

C  Celecoxib

D  Piroxicam

A  affects young males.

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

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  ability to perform activities of daily living (ADL)

B  decreased joint pain

C  a weight gain of 2 pounds

D  increased fatigue

A  Has a weight gain of 5 pounds

B  Shows increased joint flexibility

C  Reports decreased joint pain

D  Reports ability to perform ADLs

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  Arthroplasty

B  Ankylosis

C  Hemarthrosis

D  Diarthrodial

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  Osteoarthritis

B  Gout

C  Rheumatoid arthritis

D  Fibromyalgia

A  Opioid therapy

B  Ice packs

C  Surgery

D  Nonsteroidal anti-inflammatory drugs

A  Joint effusion

B  Tophi

C  Pannus

D  Subchondral bone

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  calcium gluconate

B  furosemide

C  colchicine

D  aspirin