Chapter 38 Quiz

A  etanercept

B  methotrexate

C  adalimumab

D   allopurinol

A  encouraging the client to eat a healthy diet

B  avoiding caffeine and alcohol

C  applications of ice

D  regular exercise and stress reduction

A  running on a treadmill

B   jogging

C  t’ai chi

D  weight lifting

A  early morning stiffness

B  joint pain that diminishes with rest

C  small joint involvement

D  subcutaneous nodules

A  Computed tomography (CT)

B  Muscle biopsy

C  Bone scan

D  Magnetic resonance imaging (MRI)

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  Medication dosages and side effects

B  Dressing changes

C  Narcotic safety

D  Assistive devices

E  Safe exercise

A  Pannus

B  Ankylosis

C  Synovitis

D  Articulations

A  Maintain complete bed rest.

B  Maintain good posture.

C  Perform aerobic exercises.

D  Keep shifting weight from one foot to the other.

A  Scleroderma

B  Polymyalgia rheumatic

C  Rheumatoid arthritis

D  Systemic lupus erythematosus

A  Tophi

B  Joint effusion

C  Pannus

D  Subchondral bone

A  Ankylosis

B  Diarthrodial

C  Hemarthrosis

D  Arthroplasty

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

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

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

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

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

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

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

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

A  The amount of fluid will be scant in volume.

B  The fluid will be straw colored.

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

D  The fluid will be clear and pale.

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

B  rarely respond to treatment.

C  will eventually lose their ability to walk.

D  all have the same type of symptoms.

A  First thing in the morning when the client wakes

B  After cool compresses have been applied to the hands

C  After the client has a diagnostic test

D  After the client has had a warm paraffin hand bath

A  Kidney

B  Skin

C  Lung

D  Brain

A  Osteotomy

B  Synovectomy

C   Arthrodesis

D  Tenorrhaphy

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

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

C  Cold therapy

D  Acupuncture

A  trauma

B  obesity

C  age

D  congenital deformity

A  Sjögren’s syndrome

B  Ankylosing spondylitis

C  Reiter’s syndrome

D  Raynaud’s phenomenon

A  Pace activities.

B  Avoid sunlight and ultraviolet radiation.

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

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

A  eating organ meats and sardines

B  high carbohydrate intake

C  frequently ingesting salicylates

D   frequently drinking coffee

A  located over bony prominence

B  reddened

C  tender to the touch

D  nonmovable

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 morning, when pain and stiffness are least pronounced.”

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

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  “Monitor your body temperature.”

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

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

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

A  a. 0.19mmol/L

B  b. 0.24 mmol/L/

C  c. 0.32 mmol/L

D  d. 0.40 mmol/L

A  Colchicine

B  Hydrotherapy

C  Allopurinol

D  Physical therapy and exercise

A   Scleroderma

B  Systemic lupus erythematous (SLE)

C  Rheumatoid arthritis (RA)

D  Osteoarthritis (OA)

A  Nausea and vomiting

B  Tingling in the arms

C  Increase in pain in the affected extremity

D  Intestinal cramping

E   Diarrhea

A  detection of systemic complications

B  disease-modifying antirheumatic drug therapy

C  prevention of joint deformity

D  strategies for remaining active

A  Knee

B  Ankle

C  Tarsal area

D  Metatarsophalangeal

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

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

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

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

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

D   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

A  “My finger joints are oddly shaped.”

B  “I have pain in my hands.”

C  “I have trouble with my balance.”

D  “My legs feel weak.”

A  prevent infection.

B   combat inflammation.

C  promote diuresis.

D  prevent platelet aggregation.

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

B  Take the medication with food to avoid stomach upset.

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

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

A  Elevated uric acid levels

B  Increased AST and ALT

C  Elevated white blood count

D  Decreased hemoglobin and hematocrit

A  Infliximab (Remicade)

B  Methotrexate (Rheumatrex)

C  Methylprednisolone (Medrol)

D  Etanercept (Enbrel)

A  butterfly facial rash

B  jaw locking

C  Heberden nodes

D  widespread chronic pain

A  red, butterfly-shaped facial rash

B  increased urine output

C  low back pain

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 antihypertensive drugs.”

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

A  colchicine

B  prednisone

C  methotrexate

D  penicillamine

A  anorexia and weight loss

B  joint stiffness that decreases with activity

C  fever and malaise

D  erythema and edema over the affected joint

A  fresh fish

B  organ meats

C  green vegetables

D  citrus fruits

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

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

C  “It will get better and worse again.”

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

A  anturane

B  probenecid

C  allopurinol

D  colchicine

A  diclofenac

B  hydroxychloroquine

C  cyclophosphamide

D  azathioprine

A  Ibuprofen

B  Piroxicam

C  Celecoxib

D  Tolmetin sodium

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

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

C  affects young males.

D  the most common and frequently disabling of joint disorders.

A  Increased C4 complement

B  Increased albumin levels

C  Increased red blood cell count

D  Elevated erythrocyte sedimentation rate

A  decreased joint pain

B  a weight gain of 2 pounds

C  ability to perform activities of daily living (ADL)

D  increased fatigue

A  Reports ability to perform ADLs

B  Reports decreased joint pain

C  Shows increased joint flexibility

D  Has a weight gain of 5 pounds

A  The medication is given at room temperature.

B  The medication is administered intramuscularly.

C  The client should continue taking the medication if fever occurs

D  It is important to monitor for injection site reactions.

A  Diarthrodial

B  Hemarthrosis

C  Arthroplasty

D  Ankylosis

A  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

B  vigorous physical therapy for the joints.

C  administration of opioids for pain control.

D  administration of monthly intra-articular injections of corticosteroids.

A  Osteoarthritis

B  Fibromyalgia

C  Rheumatoid arthritis

D  Gout

A  Nonsteroidal anti-inflammatory drugs

B  Ice packs

C  Opioid therapy

D  Surgery

A  Pannus

B  Tophi

C  Joint effusion

D  Subchondral bone

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

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

A  calcium gluconate

B  furosemide

C  colchicine

D  aspirin