Chapter 38 Quiz

A   allopurinol

B  methotrexate

C  adalimumab

D  etanercept

A  avoiding caffeine and alcohol

B  encouraging the client to eat a healthy diet

C  regular exercise and stress reduction

D  applications of ice

A  running on a treadmill

B  weight lifting

C  t’ai chi

D   jogging

A  early morning stiffness

B  small joint involvement

C  joint pain that diminishes with rest

D  subcutaneous nodules

A  Magnetic resonance imaging (MRI)

B  Computed tomography (CT)

C  Bone scan

D  Muscle biopsy

A  It is suggestive of rheumatoid arthritis.

B  It is specific for rheumatoid arthritis.

C  It is diagnostic for systemic lupus erythematosus.

D  It is diagnostic for Sjögren’s syndrome.

A  Dressing changes

B  Assistive devices

C  Safe exercise

D  Narcotic safety

E  Medication dosages and side effects

A  Articulations

B  Synovitis

C  Pannus

D  Ankylosis

A  Maintain complete bed rest.

B  Perform aerobic exercises.

C  Maintain good posture.

D  Keep shifting weight from one foot to the other.

A  Scleroderma

B  Polymyalgia rheumatic

C  Rheumatoid arthritis

D  Systemic lupus erythematosus

A  Subchondral bone

B  Pannus

C  Joint effusion

D  Tophi

A  Diarthrodial

B  Hemarthrosis

C  Arthroplasty

D  Ankylosis

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

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

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

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

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 amount of fluid will be scant in volume.

B  The fluid will be clear and pale.

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

D  The fluid will be straw colored.

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 the client has a diagnostic test

C  After cool compresses have been applied to the hands

D  First thing in the morning when the client wakes

A  Lung

B  Skin

C  Brain

D  Kidney

A  Osteotomy

B  Synovectomy

C   Arthrodesis

D  Tenorrhaphy

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

D  Administering ordered analgesics and monitoring their effects

A  Cold therapy

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

C  Acupuncture

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

A  age

B  obesity

C  congenital deformity

D  trauma

A  Reiter’s syndrome

B  Sjögren’s syndrome

C  Raynaud’s phenomenon

D  Ankylosing spondylitis

A  Avoid sunlight and ultraviolet radiation.

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

C  Pace activities.

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

A  frequently ingesting salicylates

B  high carbohydrate intake

C   frequently drinking coffee

D  eating organ meats and sardines

A  tender to the touch

B  located over bony prominence

C  nonmovable

D  reddened

A  Chest pain

B  Behavioral changes

C  Decreased cognitive ability

D  Hypertension

A  Encourage weight loss and an increase in aerobic activity

B  Avoid the use of topical analgesics

C  Assess for gastrointestinal complications associated with COX-2 inhibitors

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 after performing morning exercises to loosen up.”

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

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

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

B  “Monitor your body temperature.”

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

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

A  d. 0.40 mmol/L

B  c. 0.32 mmol/L

C  b. 0.24 mmol/L/

D  a. 0.19mmol/L

A  Allopurinol

B  Colchicine

C  Hydrotherapy

D  Physical therapy and exercise

A  Osteoarthritis (OA)

B  Systemic lupus erythematous (SLE)

C   Scleroderma

D  Rheumatoid arthritis (RA)

A  Tingling in the arms

B  Nausea and vomiting

C  Intestinal cramping

D  Increase in pain in the affected extremity

E   Diarrhea

A  disease-modifying antirheumatic drug therapy

B  detection of systemic complications

C  prevention of joint deformity

D  strategies for remaining active

A  Metatarsophalangeal

B  Ankle

C  Tarsal area

D  Knee

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

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   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.

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

B   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

A  “I have trouble with my balance.”

B  “My legs feel weak.”

C  “My finger joints are oddly shaped.”

D  “I have pain in my hands.”

A  prevent platelet aggregation.

B  prevent infection.

C   combat inflammation.

D  promote diuresis.

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

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 with food to avoid stomach upset.

A  Elevated white blood count

B  Decreased hemoglobin and hematocrit

C  Elevated uric acid levels

D  Increased AST and ALT

A  Methylprednisolone (Medrol)

B  Etanercept (Enbrel)

C  Methotrexate (Rheumatrex)

D  Infliximab (Remicade)

A  Heberden nodes

B  jaw locking

C  butterfly facial rash

D  widespread chronic pain

A  red, butterfly-shaped facial rash

B  low back pain

C  patchy hair loss on the scalp

D  increased urine output

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 anti-inflammatory drugs.”

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

A  penicillamine

B  methotrexate

C  colchicine

D  prednisone

A  joint stiffness that decreases with activity

B  anorexia and weight loss

C  erythema and edema over the affected joint

D  fever and malaise

A  organ meats

B  citrus fruits

C  fresh fish

D  green vegetables

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

B  “It will get better and worse again.”

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

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

A  colchicine

B  allopurinol

C  anturane

D  probenecid

A  azathioprine

B  cyclophosphamide

C  diclofenac

D  hydroxychloroquine

A  Tolmetin sodium

B  Ibuprofen

C  Piroxicam

D  Celecoxib

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  Increased C4 complement

B  Increased albumin levels

C  Elevated erythrocyte sedimentation rate

D  Increased red blood cell count

A  decreased joint pain

B  ability to perform activities of daily living (ADL)

C  a weight gain of 2 pounds

D  increased fatigue

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  The medication is given at room temperature.

B  It is important to monitor for injection site reactions.

C  The medication is administered intramuscularly.

D  The client should continue taking the medication if fever occurs

A  Diarthrodial

B  Arthroplasty

C  Ankylosis

D  Hemarthrosis

A  administration of opioids for pain control.

B  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

C  vigorous physical therapy for the joints.

D  administration of monthly intra-articular injections of corticosteroids.

A  Fibromyalgia

B  Rheumatoid arthritis

C  Gout

D  Osteoarthritis

A  Nonsteroidal anti-inflammatory drugs

B  Surgery

C  Ice packs

D  Opioid therapy

A  Joint effusion

B  Tophi

C  Pannus

D  Subchondral bone

A  “SLE is a very serious systemic disorder.”

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

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

D  “The diagnosis won’t be based on the findings of a single test but by combining all data found.”

A  colchicine

B  furosemide

C  calcium gluconate

D  aspirin