Muscular 1

40 Questions | By Justin82 | Updated: Mar 21, 2022 | Attempts: 582

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1.

1. A 44-year-old patient has been seen in the clinic for suspected arthritis. She is to undergo a procedure to retrieve synovial fluid from her knee for a definitive diagnosis. The nurse knows that which of the following procedures will be involved?
- A.
  
  A) Angiography
- B.
  
  B) Myelography
- C.
  
  C) Paracentesis
- D.
  
  D) Arthocentesis
2.

2. A patient in the early stage of rheumatoid arthritis has been admitted to your unit. What medication classification would the nurse expect to be ordered for this patient?
- A.
  
  A) Antimalarial agents
- B.
  
  B) NSAIDs
- C.
  
  C) Xanthine oxidase inhibitors
- D.
  
  D) Uricosuric agents
3.

3. You are doing the initial assessment of a patient admitted to your unit with systemic lupus erythematosus. What skin manifestation would the nurse expect to find on this patient?
- A.
  
  A) Petechiae
- B.
  
  B) Butterfly rash across bridge of nose and cheeks
- C.
  
  C) Absence of wrinkles
- D.
  
  D) Weight gain
4.

4. A clinic nurse is caring for a patient with suspected gout. While explaining the pathophysiology of gout to the patient, the nurse would include which of the following as a causative agent in gout?
- A.
  
  A) Thrombocytopenia
- B.
  
  B) Hypouricemia
- C.
  
  C) Hyperuricemia
- D.
  
  D) Hypocalcemia
5.

5. The nurse knows that as the symptoms of a disease change, modifications need to be made in the treatment plan. The nurse would teach the patient with rheumatic disease that it is acceptable to perform passive range of motion during which phase of the inflammatory process?
- A.
  
  A) Acute exacerbation, severe pain
- B.
  
  B) Subacute exacerbation, moderate pain
- C.
  
  C) Subacute exacerbation, minimal pain
- D.
  
  D) Remission
6.

6. The nursing instructor is talking with the pathophysiology class. What diffuse connective tissue disease would the instructor tell the class is the result of an autoimmune reaction that results in phagocytosis, producing enzymes within the joint that break down collagen and cause edema?
- A.
  
  A) Rheumatoid arthritis (RA)
- B.
  
  B) Systemic lupus erythematosus
- C.
  
  C) Osteoporosis
- D.
  
  D) Polymyositis
7.

7. A patient has been has been admitted to your unit with a diagnoses of rheumatoid arthritis. The nurse documents joint pain and swelling in her initial assessment. In addition to these findings, what is a classic sign of rheumatoid arthritis?
- A.
  
  A) Cool extremities
- B.
  
  B) Butterfly rash on face
- C.
  
  C) Joint stiffness
- D.
  
  D) Absence of wrinkles
8.

8. A patient has had rheumatoid arthritis for over 10 years. The physician has now ordered cyclophosphamide (Cytoxan) for treatment of the disease. The nurse must be alert to what side effects of this medication when administering an immunosuppressant?
- A.
  
  A) Infection
- B.
  
  B) Nystagmus
- C.
  
  C) Muscle rigidity
- D.
  
  D) Hyperthermia
9.

9. The clinic nurse is caring for a patient newly diagnosed with fibromyalgia. When developing a care plan for this patient, what would be a priority nursing diagnosis for this patient?
- A.
  
  A) Impaired skin integrity
- B.
  
  B) Altered Nutrition
- C.
  
  C) Disturbed sleep pattern
- D.
  
  D) Fatigue
10.

10. A nurse is caring for a patient newly diagnosed with osteoarthritis (OA). The patient asks the nurse what causes OA. What would the nurse tell the patient is a well-recognized risk factor for osteoarthritis?
- A.
  
  A) Smoking
- B.
  
  B) Obesity
- C.
  
  C) Weight loss
- D.
  
  D) Less than 20 years of age
11.

11. You are caring for a 69-year-old patient who has just been admitted to your unit. The patient asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). What is the best response by the nurse?
- A.
  
  A) “OA is a considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.”
- B.
  
  B) ” OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints.”
- C.
  
  C) “OA affects joints on both sides of the body. RA is usually unilateral.”
- D.
  
  D) “OA is more common in women. RA is more common in men.”
12.

12. A patient with systemic lupus erythematosus (SLE) is getting ready for discharge. The nurse knows the patient has understood the patient teaching when the patient states she needs to what?
- A.
  
  A) Get as much exposure to sunlight as possible to help control skin rashes.
- B.
  
  B) Be as active as possible between flare-ups.
- C.
  
  C) Monitor body temperature.
- D.
  
  D) Stop her corticosteroids when symptoms are relieved.
13.

13. A patient with an exacerbation of his chronic systemic lupus erythematosus (SLE) has been hospitalized on your unit. He gets angry when his call bell isn't answered immediately. What would be the most appropriate response?
- A.
  
  A) "You seem angry. Would you like to talk about it?"
- B.
  
  B) "Calm down. You know that stress will make your symptoms worse."
- C.
  
  C) "Would you like to talk about the problem with the nursing supervisor?"
- D.
  
  D) "I can see you're angry. I'll come back when you've calmed down."
14.

14. A nurse is caring for a 78-year-old patient with a history of osteoarthritis. When doing the initial assessment the nurse knows that he will most probably find what signs and symptoms?
- A.
  
  A) Joint pain, crepitus, Heberden's nodes
- B.
  
  B) Hot, inflamed joints; crepitus; joint pain
- C.
  
  C) Tophi, enlarged joints, Bouchard's nodes
- D.
  
  D) Swelling, joint pain, tenderness on palpation
15.

15. A patient who has been newly diagnosed with systemic lupus erythematosus has been admitted to your unit. You know that a typical diagnostic finding related to this disease is what?
- A.
  
  A) Thrombocytopenia
- B.
  
  B) Elevated hemoglobin level
- C.
  
  C) Negative antinuclear antibodies level
- D.
  
  D) Proteinuria
16.

16. In talking with the nursing students about scleroderma the nursing instructor refers to the CREST syndrome. These are clinical manifestations that may be related to scleroderma. What does the “R” in CREST stand for?
- A.
  
  A) Raynaud's phenomenon
- B.
  
  B) Reye's syndrome
- C.
  
  C) Rhintis
- D.
  
  D) Renal failure
17.

17. Allopurinol (Zyloprim) has been ordered for a patient receiving treatment for gout. The nurse caring for this patient would know that what laboratory finding would indicate bone marrow suppression in this patient?
- A.
  
  A) Hyperuricemia
- B.
  
  B) Increased erythrocyte sedimentation rate
- C.
  
  C) Elevated serum creatinine
- D.
  
  D) Decreased platelets
18.

18. A patient with rheumatic disease is complaining of stomatitis. The nurse caring for the patient should further assess the patient for the side effects of what medications?
- A.
  
  A) Corticosteroids
- B.
  
  B) Gold-containing compounds
- C.
  
  C) Antimalarials
- D.
  
  D) Salicylate therapy
19.

19. The nurse is planning patient education for a patient being discharged home with a diagnosis of rheumatic disease. The patient has been prescribed antimalarials for treatment, so the nurse knows to teach the patient to monitor herself for what?
- A.
  
  A) Tinnitus
- B.
  
  B) Visual changes
- C.
  
  C) Stomatitis
- D.
  
  D) Hirsutism
20.

20. The nurse is developing a teaching plan for a patient with rheumatic disease who is being prescribed salicylate therapy to monitor herself for what?
- A.
  
  A) Tinnitus
- B.
  
  B) Visual changes
- C.
  
  C) Stomatitis
- D.
  
  D) Hirsutism
21.

21. In your pathophysiology class you are studying the rheumatic disorders. What should you learn about polymyalgia rheumatica and its pathophysiology? (Mark all that apply.)
- A.
  
  A) There is an association with the genetic marker HLA-DR4
- B.
  
  B) Immunoglobulin deposits suggest an autoimmune process
- C.
  
  C) Occurs predominately in Asians
- D.
  
  D) There is no genetic association known
- E.
  
  E) Occurs predominately in Caucasians
22.

22. A patient with osteoarthritis comes to the clinic because he is not able to control the pain. The patient asks the nurse why it hurts so bad. What would be the nurse's best response?
- A.
  
  A) “Don't worry about why it hurts, let's just concentrate on taking away the pain.”
- B.
  
  B) “You are hurting because you aren't following your treatment regimen.”
- C.
  
  C) “The pain you are feeling is psychological. What is going on in your life to make you hurt so bad?”
- D.
  
  D) “You are experiencing pain from irritated nerve endings and muscle spasms.”
23.

23. What causes the inflammatory response in a patient diagnosed with gout?
- A.
  
  A) Phosphate crystals
- B.
  
  B) Calcium crystals
- C.
  
  C) Urate crystals
- D.
  
  D) Sodium crystals
24.

24. The pathophysiology instructor is discussing the disease process of rheumatic disorders. What would the instructor tell you is the cause of degeneration in the rheumatic disorders?
- A.
  
  A) Too much activity
- B.
  
  B) Lack of fluid in the joints
- C.
  
  C) Calcemia
- D.
  
  D) Pannus
25.

25. A patient is suspected of having a rheumatic disorder. What is one laboratory test the nurse would expect the physician to order?
- A.
  
  A) Erythrocyte count
- B.
  
  B) Erythrocyte sedimentation rate
- C.
  
  C) Creatinine clearance
- D.
  
  D) Basic metabolic panel