Chapter 38 Quiz

A   allopurinol

B  methotrexate

C  etanercept

D  adalimumab

A  applications of ice

B  regular exercise and stress reduction

C  encouraging the client to eat a healthy diet

D  avoiding caffeine and alcohol

A  running on a treadmill

B   jogging

C  t’ai chi

D  weight lifting

A  small joint involvement

B  subcutaneous nodules

C  early morning stiffness

D  joint pain that diminishes with rest

A  Magnetic resonance imaging (MRI)

B  Muscle biopsy

C  Computed tomography (CT)

D  Bone scan

A  It is diagnostic for systemic lupus erythematosus.

B  It is specific for rheumatoid arthritis.

C  It is diagnostic for Sjögren’s syndrome.

D  It is suggestive of rheumatoid arthritis.

A  Dressing changes

B  Safe exercise

C  Assistive devices

D  Narcotic safety

E  Medication dosages and side effects

A  Synovitis

B  Ankylosis

C  Articulations

D  Pannus

A  Maintain good posture.

B  Perform aerobic exercises.

C  Keep shifting weight from one foot to the other.

D  Maintain complete bed rest.

A  Polymyalgia rheumatic

B  Scleroderma

C  Systemic lupus erythematosus

D  Rheumatoid arthritis

A  Subchondral bone

B  Tophi

C  Pannus

D  Joint effusion

A  Ankylosis

B  Hemarthrosis

C  Arthroplasty

D  Diarthrodial

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

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

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

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

A  The fluid will be straw colored.

B  The amount of fluid will be scant in volume.

C  The fluid will be clear and pale.

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

A  will eventually lose their ability to walk.

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

C  all have the same type of symptoms.

D  rarely respond to treatment.

A  After cool compresses have been applied to the hands

B  First thing in the morning when the client wakes

C  After the client has a diagnostic test

D  After the client has had a warm paraffin hand bath

A  Lung

B  Brain

C  Kidney

D  Skin

A  Osteotomy

B  Tenorrhaphy

C   Arthrodesis

D  Synovectomy

A  Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware

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

C  Performing meticulous skin care

D  Administering ordered analgesics and monitoring their effects

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

B  Acupuncture

C  Cold therapy

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

A  age

B  obesity

C  congenital deformity

D  trauma

A  Reiter’s syndrome

B  Raynaud’s phenomenon

C  Ankylosing spondylitis

D  Sjögren’s syndrome

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

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  Pace activities.

A  eating organ meats and sardines

B  frequently ingesting salicylates

C  high carbohydrate intake

D   frequently drinking coffee

A  located over bony prominence

B  nonmovable

C  tender to the touch

D  reddened

A  Chest pain

B  Behavioral changes

C  Hypertension

D  Decreased cognitive ability

A  Provide an analgesic after exercise

B  Encourage weight loss and an increase in aerobic activity

C  Assess for gastrointestinal complications associated with COX-2 inhibitors

D  Avoid the use of topical analgesics

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

B   “Do all your chores in the evening, 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  “Corticosteroids may be stopped when symptoms are relieved.”

B  “Monitor your body temperature.”

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

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

A  c. 0.32 mmol/L

B  b. 0.24 mmol/L/

C  a. 0.19mmol/L

D  d. 0.40 mmol/L

A  Colchicine

B  Allopurinol

C  Physical therapy and exercise

D  Hydrotherapy

A  Systemic lupus erythematous (SLE)

B  Osteoarthritis (OA)

C  Rheumatoid arthritis (RA)

D   Scleroderma

A  Nausea and vomiting

B  Intestinal cramping

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  Metatarsophalangeal

B  Knee

C  Tarsal area

D  Ankle

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

B   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

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   combat inflammation.

B  promote diuresis.

C  prevent infection.

D  prevent platelet aggregation.

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  Elevated uric acid levels

B  Decreased hemoglobin and hematocrit

C  Increased AST and ALT

D  Elevated white blood count

A  Etanercept (Enbrel)

B  Methylprednisolone (Medrol)

C  Methotrexate (Rheumatrex)

D  Infliximab (Remicade)

A  jaw locking

B  butterfly facial rash

C  Heberden nodes

D  widespread chronic pain

A  increased urine output

B  patchy hair loss on the scalp

C  red, butterfly-shaped facial rash

D  low back pain

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

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

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

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

A  colchicine

B  prednisone

C  penicillamine

D  methotrexate

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  green vegetables

B  citrus fruits

C  organ meats

D  fresh fish

A  “It will get better and worse again.”

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

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

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

A  colchicine

B  anturane

C  allopurinol

D  probenecid

A  azathioprine

B  hydroxychloroquine

C  diclofenac

D  cyclophosphamide

A  Tolmetin sodium

B  Piroxicam

C  Ibuprofen

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  Increased red blood cell count

B  Elevated erythrocyte sedimentation rate

C  Increased C4 complement

D  Increased albumin levels

A  a weight gain of 2 pounds

B  decreased joint pain

C  increased fatigue

D  ability to perform activities of daily living (ADL)

A  Shows increased joint flexibility

B  Reports ability to perform ADLs

C  Has a weight gain of 5 pounds

D  Reports decreased joint pain

A  The client should continue taking the medication if fever occurs

B  The medication is administered intramuscularly.

C  The medication is given at room temperature.

D  It is important to monitor for injection site reactions.

A  Hemarthrosis

B  Arthroplasty

C  Diarthrodial

D  Ankylosis

A  vigorous physical therapy for the joints.

B  administration of monthly intra-articular injections of corticosteroids.

C  administration of opioids for pain control.

D  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

A  Osteoarthritis

B  Gout

C  Rheumatoid arthritis

D  Fibromyalgia

A  Nonsteroidal anti-inflammatory drugs

B  Surgery

C  Opioid therapy

D  Ice packs

A  Subchondral bone

B  Pannus

C  Joint effusion

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  “SLE is a very serious systemic disorder.”

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

A  aspirin

B  calcium gluconate

C  colchicine

D  furosemide