Chapter 38 Quiz

A  adalimumab

B  methotrexate

C   allopurinol

D  etanercept

A  avoiding caffeine and alcohol

B  applications of ice

C  encouraging the client to eat a healthy diet

D  regular exercise and stress reduction

A   jogging

B  running on a treadmill

C  weight lifting

D  t’ai chi

A  small joint involvement

B  subcutaneous nodules

C  joint pain that diminishes with rest

D  early morning stiffness

A  Magnetic resonance imaging (MRI)

B  Computed tomography (CT)

C  Muscle biopsy

D  Bone scan

A  It is specific for rheumatoid arthritis.

B  It is diagnostic for Sjögren’s syndrome.

C  It is diagnostic for systemic lupus erythematosus.

D  It is suggestive of rheumatoid arthritis.

A  Assistive devices

B  Safe exercise

C  Dressing changes

D  Medication dosages and side effects

E  Narcotic safety

A  Ankylosis

B  Synovitis

C  Articulations

D  Pannus

A  Keep shifting weight from one foot to the other.

B  Perform aerobic exercises.

C  Maintain good posture.

D  Maintain complete bed rest.

A  Rheumatoid arthritis

B  Systemic lupus erythematosus

C  Scleroderma

D  Polymyalgia rheumatic

A  Subchondral bone

B  Tophi

C  Pannus

D  Joint effusion

A  Arthroplasty

B  Ankylosis

C  Diarthrodial

D  Hemarthrosis

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 milky, cloudy, and dark yellow.

B  The fluid will be clear and pale.

C  The fluid will be straw colored.

D  The amount of fluid will be scant in volume.

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

B  all have the same type of symptoms.

C  will eventually lose their ability to walk.

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  Kidney

B  Lung

C  Skin

D  Brain

A  Osteotomy

B   Arthrodesis

C  Tenorrhaphy

D  Synovectomy

A  Performing meticulous skin care

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

A  Cold therapy

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

C  Acupuncture

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

A  congenital deformity

B  trauma

C  age

D  obesity

A  Sjögren’s syndrome

B  Ankylosing spondylitis

C  Raynaud’s phenomenon

D  Reiter’s syndrome

A  Pace activities.

B  Avoid sunlight and ultraviolet radiation.

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

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

A  high carbohydrate intake

B  frequently ingesting salicylates

C   frequently drinking coffee

D  eating organ meats and sardines

A  reddened

B  nonmovable

C  tender to the touch

D  located over bony prominence

A  Hypertension

B  Behavioral changes

C  Decreased cognitive ability

D  Chest pain

A  Assess for gastrointestinal complications associated with COX-2 inhibitors

B  Avoid the use of topical analgesics

C  Encourage weight loss and an increase in aerobic activity

D  Provide an analgesic after exercise

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

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

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

B  “Monitor your body temperature.”

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

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

A  c. 0.32 mmol/L

B  b. 0.24 mmol/L/

C  d. 0.40 mmol/L

D  a. 0.19mmol/L

A  Colchicine

B  Allopurinol

C  Physical therapy and exercise

D  Hydrotherapy

A  Systemic lupus erythematous (SLE)

B   Scleroderma

C  Rheumatoid arthritis (RA)

D  Osteoarthritis (OA)

A  Tingling in the arms

B   Diarrhea

C  Nausea and vomiting

D  Increase in pain in the affected extremity

E  Intestinal cramping

A  disease-modifying antirheumatic drug therapy

B  strategies for remaining active

C  detection of systemic complications

D  prevention of joint deformity

A  Ankle

B  Knee

C  Metatarsophalangeal

D  Tarsal area

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   Exercising in the evening before going to bed is beneficial.

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

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

B   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

A  “My finger joints are oddly shaped.”

B  “I have pain in my hands.”

C  “My legs feel weak.”

D  “I have trouble with my balance.”

A  prevent platelet aggregation.

B  prevent infection.

C   combat inflammation.

D  promote diuresis.

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

B  Take the medication with food to avoid stomach upset.

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

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

A  Increased AST and ALT

B  Decreased hemoglobin and hematocrit

C  Elevated uric acid levels

D  Elevated white blood count

A  Methotrexate (Rheumatrex)

B  Infliximab (Remicade)

C  Etanercept (Enbrel)

D  Methylprednisolone (Medrol)

A  Heberden nodes

B  butterfly facial rash

C  widespread chronic pain

D  jaw locking

A  increased urine output

B  red, butterfly-shaped facial rash

C  patchy hair loss on the scalp

D  low back pain

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  methotrexate

B  colchicine

C  penicillamine

D  prednisone

A  anorexia and weight loss

B  fever and malaise

C  erythema and edema over the affected joint

D  joint stiffness that decreases with activity

A  fresh fish

B  citrus fruits

C  green vegetables

D  organ meats

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

B  “It will get better and worse again.”

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

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

A  allopurinol

B  colchicine

C  anturane

D  probenecid

A  azathioprine

B  hydroxychloroquine

C  diclofenac

D  cyclophosphamide

A  Celecoxib

B  Tolmetin sodium

C  Piroxicam

D  Ibuprofen

A  affects young males.

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

C  the most common and frequently disabling of joint disorders.

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

A  Increased albumin levels

B  Elevated erythrocyte sedimentation rate

C  Increased C4 complement

D  Increased red blood cell count

A  ability to perform activities of daily living (ADL)

B  increased fatigue

C  decreased joint pain

D  a weight gain of 2 pounds

A  Reports ability to perform ADLs

B  Has a weight gain of 5 pounds

C  Shows increased joint flexibility

D  Reports decreased joint pain

A  It is important to monitor for injection site reactions.

B  The client should continue taking the medication if fever occurs

C  The medication is given at room temperature.

D  The medication is administered intramuscularly.

A  Ankylosis

B  Hemarthrosis

C  Arthroplasty

D  Diarthrodial

A  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

B  administration of monthly intra-articular injections of corticosteroids.

C  vigorous physical therapy for the joints.

D  administration of opioids for pain control.

A  Osteoarthritis

B  Fibromyalgia

C  Gout

D  Rheumatoid arthritis

A  Opioid therapy

B  Nonsteroidal anti-inflammatory drugs

C  Surgery

D  Ice packs

A  Joint effusion

B  Subchondral bone

C  Pannus

D  Tophi

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

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  “SLE is a very serious systemic disorder.”

A  aspirin

B  calcium gluconate

C  colchicine

D  furosemide