143 Mod 4 - Rheumatic Diseases (Practice Questions) And Correct Answers
1. A patient with an
autoimmune disorder says, I Answer: 2 Explanation: 1. Autoimmune disorders are
don't know why not specifically linked to vitamin deficiencies. 2. One
theory
this happened to me. I try to ex- about autoimmunity is that of molecular mimicry.
This is
ercise and eat well. How when the body will react appropriately to an
should the nurse respond? allergen but then incorrectly identifies normal body
1. These disorders are
usually associated with a tissue as being the same allergen and begins to
vitamin defi- ciency. destroy normal tissue. 3. Au- toimmune disorders
do not occur in response to repeated exposure to
an allergen. 4. Autoimmune disorders are not
2. These problems happen when linked specifically to chronic illnesses.
your body misinterprets normal
cells as being foreign and at-
tempts to destroy them.
3. It happened because you
were exposed to something
re- peatedly, and then the
body de- cided it needed to
destroy it.
4. Chronic illnesses are the
cause of autoimmune
disorders.
2. During a routine health exam, B, C, E. When a client is experiencing a flare-up of
the client informs the nurse that rheumatoid arthritis, the client should be instructed
on the
she has been very fatigued non-pharmacological nursing interventions to
in the past 2 weeks. The perform be- fore adding medications. The non-
client states that every
morning for the past week, pharmacological nursing interventions should
the joints in her hands are include instructing to take a shower or bath in the
very painful, swollen, and morning and at night before bedtime. The heat will
stiff. The nurse assesses the
client's joints in her hands help reduce the swelling and stittness and reduce
the pain. The client should be instructed to
alternate heat and cold therapy to reduce
,143 Mod 4 - Rheumatic Diseases (Practice Questions) And Correct Answers
inflammation and alleviate pain.
and notes the redness, swelling, During flare-ups, the client should be instructed to
rest
and stiffness. What non- the attected joints. Instructing the client to perform
phar- macological nursing
interven- tions would you active ROM exercises is important to help maintain
recommend to function and strength, but should not be instructed
to do so every 2 hours
, 143 Mod 4 - Rheumatic Diseases (Practice Questions) And Correct Answers
help alleviate the swelling, during a flare-up. The client should be instructed to
pain, and stiffness? Select all
that ap- ply. perform low-impact exercises to assist and maintain
A) Instruct to perform function and strength. An hour massage would not
active ROM exercises be recommended due to increasing the client's pain
every 2 hours
B)Instruct to take a warm with the massage.
show- er or bath in the
morning and before bedtime
C)Instruct to alternate heat
and cold therapy to affected
joints
D) Instruct to make an
appoint- ment for an hour
massage to the affected
joints
E)Instruct to rest the
affected joints when in
severe pain
3. Which of these clients are
ex- hibiting the signs and
symp- toms associated with
rheuma- toid arthritis? Select B, C. Rheumatoid arthritis signs and symptoms
all that ap- ply. include fa- tigue, anorexia, weight loss, morning
A) A 30-year-old football star joint stittness, sym- metrical joint swelling, and severe
with crepitus in the left
knee pain in the small joints of the hands. Rheumatoid
B) A 35-year-old client with se- arthritis causes swans neck, bouton- niere's
vere warmth, redness, and deformity, contractures of the joints, joint pain that gets
in- flammation of both
hands better with activity and gets worse at rest. Rheumatoid
C)A 40-year-old female with fa- arthritis results in deconditioning of the joints
tigue, joint stiffness, and resulting in decreased muscle strength with
joint pain in the mornings
D) A 32-year-old ice skater with systemic symptoms. Cur- rently, no cure exists for
soreness and swelling in rheumatoid arthritis. health care provider (HCP)s
both ankles teach management of fatigue, joint pain and
stittness through low impact exercises, range-of-motion
exercises, and alternating heat and cold
applications.
1. A patient with an
autoimmune disorder says, I Answer: 2 Explanation: 1. Autoimmune disorders are
don't know why not specifically linked to vitamin deficiencies. 2. One
theory
this happened to me. I try to ex- about autoimmunity is that of molecular mimicry.
This is
ercise and eat well. How when the body will react appropriately to an
should the nurse respond? allergen but then incorrectly identifies normal body
1. These disorders are
usually associated with a tissue as being the same allergen and begins to
vitamin defi- ciency. destroy normal tissue. 3. Au- toimmune disorders
do not occur in response to repeated exposure to
an allergen. 4. Autoimmune disorders are not
2. These problems happen when linked specifically to chronic illnesses.
your body misinterprets normal
cells as being foreign and at-
tempts to destroy them.
3. It happened because you
were exposed to something
re- peatedly, and then the
body de- cided it needed to
destroy it.
4. Chronic illnesses are the
cause of autoimmune
disorders.
2. During a routine health exam, B, C, E. When a client is experiencing a flare-up of
the client informs the nurse that rheumatoid arthritis, the client should be instructed
on the
she has been very fatigued non-pharmacological nursing interventions to
in the past 2 weeks. The perform be- fore adding medications. The non-
client states that every
morning for the past week, pharmacological nursing interventions should
the joints in her hands are include instructing to take a shower or bath in the
very painful, swollen, and morning and at night before bedtime. The heat will
stiff. The nurse assesses the
client's joints in her hands help reduce the swelling and stittness and reduce
the pain. The client should be instructed to
alternate heat and cold therapy to reduce
,143 Mod 4 - Rheumatic Diseases (Practice Questions) And Correct Answers
inflammation and alleviate pain.
and notes the redness, swelling, During flare-ups, the client should be instructed to
rest
and stiffness. What non- the attected joints. Instructing the client to perform
phar- macological nursing
interven- tions would you active ROM exercises is important to help maintain
recommend to function and strength, but should not be instructed
to do so every 2 hours
, 143 Mod 4 - Rheumatic Diseases (Practice Questions) And Correct Answers
help alleviate the swelling, during a flare-up. The client should be instructed to
pain, and stiffness? Select all
that ap- ply. perform low-impact exercises to assist and maintain
A) Instruct to perform function and strength. An hour massage would not
active ROM exercises be recommended due to increasing the client's pain
every 2 hours
B)Instruct to take a warm with the massage.
show- er or bath in the
morning and before bedtime
C)Instruct to alternate heat
and cold therapy to affected
joints
D) Instruct to make an
appoint- ment for an hour
massage to the affected
joints
E)Instruct to rest the
affected joints when in
severe pain
3. Which of these clients are
ex- hibiting the signs and
symp- toms associated with
rheuma- toid arthritis? Select B, C. Rheumatoid arthritis signs and symptoms
all that ap- ply. include fa- tigue, anorexia, weight loss, morning
A) A 30-year-old football star joint stittness, sym- metrical joint swelling, and severe
with crepitus in the left
knee pain in the small joints of the hands. Rheumatoid
B) A 35-year-old client with se- arthritis causes swans neck, bouton- niere's
vere warmth, redness, and deformity, contractures of the joints, joint pain that gets
in- flammation of both
hands better with activity and gets worse at rest. Rheumatoid
C)A 40-year-old female with fa- arthritis results in deconditioning of the joints
tigue, joint stiffness, and resulting in decreased muscle strength with
joint pain in the mornings
D) A 32-year-old ice skater with systemic symptoms. Cur- rently, no cure exists for
soreness and swelling in rheumatoid arthritis. health care provider (HCP)s
both ankles teach management of fatigue, joint pain and
stittness through low impact exercises, range-of-motion
exercises, and alternating heat and cold
applications.
