Chapter 38 Quiz

A  etanercept

B   allopurinol

C  adalimumab

D  methotrexate

A  encouraging the client to eat a healthy diet

B  regular exercise and stress reduction

C  applications of ice

D  avoiding caffeine and alcohol

A  t’ai chi

B   jogging

C  running on a treadmill

D  weight lifting

A  subcutaneous nodules

B  early morning stiffness

C  small joint involvement

D  joint pain that diminishes with rest

A  Bone scan

B  Magnetic resonance imaging (MRI)

C  Muscle biopsy

D  Computed tomography (CT)

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  Safe exercise

B  Dressing changes

C  Medication dosages and side effects

D  Assistive devices

E  Narcotic safety

A  Synovitis

B  Pannus

C  Articulations

D  Ankylosis

A  Maintain good posture.

B  Maintain complete bed rest.

C  Perform aerobic exercises.

D  Keep shifting weight from one foot to the other.

A  Systemic lupus erythematosus

B  Rheumatoid arthritis

C  Scleroderma

D  Polymyalgia rheumatic

A  Joint effusion

B  Tophi

C  Subchondral bone

D  Pannus

A  Arthroplasty

B  Hemarthrosis

C  Diarthrodial

D  Ankylosis

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

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

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

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

A  The fluid will be clear and pale.

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

C  The fluid will be straw colored.

D  The amount of fluid will be scant in volume.

A  rarely respond to treatment.

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

C  will eventually lose their ability to walk.

D  all have the same type of symptoms.

A  After the client has a diagnostic test

B  First thing in the morning when the client wakes

C  After cool compresses have been applied to the hands

D  After the client has had a warm paraffin hand bath

A  Lung

B  Kidney

C  Skin

D  Brain

A  Tenorrhaphy

B  Osteotomy

C   Arthrodesis

D  Synovectomy

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  Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs)

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

C  Cold therapy

D  Acupuncture

A  obesity

B  age

C  congenital deformity

D  trauma

A  Reiter’s syndrome

B  Sjögren’s syndrome

C  Raynaud’s phenomenon

D  Ankylosing spondylitis

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

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

C  Pace activities.

D  Avoid sunlight and ultraviolet radiation.

A  frequently ingesting salicylates

B  high carbohydrate intake

C   frequently drinking coffee

D  eating organ meats and sardines

A  tender to the touch

B  nonmovable

C  located over bony prominence

D  reddened

A  Hypertension

B  Behavioral changes

C  Decreased cognitive ability

D  Chest pain

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  “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 in the evening, when pain and stiffness are least pronounced.”

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

A  “Monitor your body temperature.”

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

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  d. 0.40 mmol/L

C  b. 0.24 mmol/L/

D  a. 0.19mmol/L

A  Hydrotherapy

B  Colchicine

C  Allopurinol

D  Physical therapy and exercise

A  Rheumatoid arthritis (RA)

B  Systemic lupus erythematous (SLE)

C  Osteoarthritis (OA)

D   Scleroderma

A  Nausea and vomiting

B  Tingling in the arms

C  Intestinal cramping

D  Increase in pain in the affected extremity

E   Diarrhea

A  strategies for remaining active

B  detection of systemic complications

C  disease-modifying antirheumatic drug therapy

D  prevention of joint deformity

A  Tarsal area

B  Knee

C  Ankle

D  Metatarsophalangeal

A   Exercising in the evening before going to bed is beneficial.

B   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.

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

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

A   Photosensitivity, polyarthralgia, and painful mucous membrane ulcers

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

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

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

A  “I have pain in my hands.”

B  “I have trouble with my balance.”

C  “My finger joints are oddly shaped.”

D  “My legs feel weak.”

A  promote diuresis.

B  prevent infection.

C  prevent platelet aggregation.

D   combat inflammation.

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  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  Decreased hemoglobin and hematocrit

B  Elevated uric acid levels

C  Elevated white blood count

D  Increased AST and ALT

A  Methotrexate (Rheumatrex)

B  Methylprednisolone (Medrol)

C  Infliximab (Remicade)

D  Etanercept (Enbrel)

A  butterfly facial rash

B  widespread chronic pain

C  Heberden nodes

D  jaw locking

A  low back pain

B  patchy hair loss on the scalp

C  red, butterfly-shaped facial rash

D  increased urine output

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

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

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

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

A  prednisone

B  methotrexate

C  colchicine

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  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  anturane

B  probenecid

C  colchicine

D  allopurinol

A  diclofenac

B  hydroxychloroquine

C  azathioprine

D  cyclophosphamide

A  Tolmetin sodium

B  Celecoxib

C  Piroxicam

D  Ibuprofen

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

B  affects young males.

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

D  the most common and frequently disabling of joint disorders.

A  Increased albumin levels

B  Elevated erythrocyte sedimentation rate

C  Increased C4 complement

D  Increased red blood cell count

A  increased fatigue

B  decreased joint pain

C  a weight gain of 2 pounds

D  ability to perform activities of daily living (ADL)

A  Reports ability to perform ADLs

B  Has a weight gain of 5 pounds

C  Reports decreased joint pain

D  Shows increased joint flexibility

A  The client should continue taking the medication if fever occurs

B  The medication is administered intramuscularly.

C  It is important to monitor for injection site reactions.

D  The medication is given at room temperature.

A  Diarthrodial

B  Arthroplasty

C  Hemarthrosis

D  Ankylosis

A  administration of monthly intra-articular injections of corticosteroids.

B  administration of opioids for pain control.

C  vigorous physical therapy for the joints.

D  administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

A  Gout

B  Osteoarthritis

C  Fibromyalgia

D  Rheumatoid arthritis

A  Ice packs

B  Opioid therapy

C  Nonsteroidal anti-inflammatory drugs

D  Surgery

A  Joint effusion

B  Tophi

C  Subchondral bone

D  Pannus

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  aspirin

B  furosemide

C  calcium gluconate

D  colchicine