Chapter 38 Quiz

A   allopurinol

B  methotrexate

C  adalimumab

D  etanercept

A  encouraging the client to eat a healthy diet

B  applications of ice

C  avoiding caffeine and alcohol

D  regular exercise and stress reduction

A  weight lifting

B  t’ai chi

C  running on a treadmill

D   jogging

A  subcutaneous nodules

B  early morning stiffness

C  joint pain that diminishes with rest

D  small joint involvement

A  Magnetic resonance imaging (MRI)

B  Muscle biopsy

C  Computed tomography (CT)

D  Bone scan

A  It is specific for rheumatoid arthritis.

B  It is diagnostic for systemic lupus erythematosus.

C  It is diagnostic for Sjögren’s syndrome.

D  It is suggestive of rheumatoid arthritis.

A  Narcotic safety

B  Assistive devices

C  Dressing changes

D  Safe exercise

E  Medication dosages and side effects

A  Synovitis

B  Ankylosis

C  Pannus

D  Articulations

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  Polymyalgia rheumatic

D  Systemic lupus erythematosus

A  Subchondral bone

B  Joint effusion

C  Pannus

D  Tophi

A  Hemarthrosis

B  Diarthrodial

C  Ankylosis

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

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

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

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

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

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

A  The fluid will be straw colored.

B  The fluid will be clear and pale.

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

D  The amount of fluid will be scant in volume.

A  rarely respond to treatment.

B  will eventually lose their ability to walk.

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

D  all have the same type of symptoms.

A  After cool compresses have been applied to the hands

B  After the client has a diagnostic test

C  After the client has had a warm paraffin hand bath

D  First thing in the morning when the client wakes

A  Lung

B  Brain

C  Kidney

D  Skin

A  Osteotomy

B   Arthrodesis

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

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

C  Acupuncture

D  Cold therapy

A  age

B  trauma

C  obesity

D  congenital deformity

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  high carbohydrate intake

D   frequently drinking coffee

A  located over bony prominence

B  nonmovable

C  tender to the touch

D  reddened

A  Hypertension

B  Chest pain

C  Behavioral changes

D  Decreased cognitive ability

A  Assess for gastrointestinal complications associated with COX-2 inhibitors

B  Provide an analgesic after exercise

C  Encourage weight loss and an increase in aerobic activity

D  Avoid the use of topical analgesics

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

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

A  “Monitor your body temperature.”

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

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

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

A  d. 0.40 mmol/L

B  c. 0.32 mmol/L

C  b. 0.24 mmol/L/

D  a. 0.19mmol/L

A  Colchicine

B  Physical therapy and exercise

C  Hydrotherapy

D  Allopurinol

A  Osteoarthritis (OA)

B   Scleroderma

C  Systemic lupus erythematous (SLE)

D  Rheumatoid arthritis (RA)

A  Intestinal cramping

B  Nausea and vomiting

C  Tingling in the arms

D  Increase in pain in the affected extremity

E   Diarrhea

A  prevention of joint deformity

B  detection of systemic complications

C  disease-modifying antirheumatic drug therapy

D  strategies for remaining active

A  Ankle

B  Metatarsophalangeal

C  Knee

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

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

C   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

A  “I have pain in my hands.”

B  “My legs feel weak.”

C  “I have trouble with my balance.”

D  “My finger joints are oddly shaped.”

A  prevent platelet aggregation.

B  promote diuresis.

C   combat inflammation.

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

D  Take the medication with food to avoid stomach upset.

A  Elevated white blood count

B  Increased AST and ALT

C  Elevated uric acid levels

D  Decreased hemoglobin and hematocrit

A  Methylprednisolone (Medrol)

B  Infliximab (Remicade)

C  Methotrexate (Rheumatrex)

D  Etanercept (Enbrel)

A  Heberden nodes

B  widespread chronic pain

C  jaw locking

D  butterfly facial rash

A  increased urine output

B  low back pain

C  red, butterfly-shaped facial rash

D  patchy hair loss on the scalp

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

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

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

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

A  methotrexate

B  penicillamine

C  colchicine

D  prednisone

A  erythema and edema over the affected joint

B  joint stiffness that decreases with activity

C  anorexia and weight loss

D  fever and malaise

A  fresh fish

B  green vegetables

C  organ meats

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  allopurinol

B  colchicine

C  anturane

D  probenecid

A  hydroxychloroquine

B  azathioprine

C  cyclophosphamide

D  diclofenac

A  Piroxicam

B  Ibuprofen

C  Tolmetin sodium

D  Celecoxib

A  affects young males.

B  the most common and frequently disabling of joint disorders.

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

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

A  Elevated erythrocyte sedimentation rate

B  Increased albumin levels

C  Increased C4 complement

D  Increased red blood cell count

A  ability to perform activities of daily living (ADL)

B  decreased joint pain

C  increased fatigue

D  a weight gain of 2 pounds

A  Reports decreased joint pain

B  Shows increased joint flexibility

C  Reports ability to perform ADLs

D  Has a weight gain of 5 pounds

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  Arthroplasty

B  Diarthrodial

C  Ankylosis

D  Hemarthrosis

A  administration of opioids for pain control.

B  administration of monthly intra-articular injections of corticosteroids.

C  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

D  vigorous physical therapy for the joints.

A  Osteoarthritis

B  Rheumatoid arthritis

C  Fibromyalgia

D  Gout

A  Surgery

B  Opioid therapy

C  Ice packs

D  Nonsteroidal anti-inflammatory drugs

A  Subchondral bone

B  Joint effusion

C  Pannus

D  Tophi

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

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

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  furosemide

C  calcium gluconate

D  colchicine