Ch 44, 52
A client is diagnosed with systemic lupus erythematosus. Which assessment data support this diagnosis? (Select all that apply.)
A. African American female B. Contractures of the fingers C. Facial butterfly rash noted D. Swelling and pain in knees
A client is diagnosed with ankylosing spondylitis. Which assessment data support this diagnosis? (Select all that apply.)
A. Low back pain B. 18-year-old men
Manifestations of osteoarthritis include (Select all that apply.)
A. Nodules on joints of the hands B. Crepitus with joint movement C. Narrowing of joint spaces
What are the criteria for diagnosing rheumatoid arthritis? (Select all that apply.)
A. Simultaneous symmetric swelling of joints B. Soft-tissue swelling of at least three joints C.Subcutaneous rheumatoid nodules D. Morning stiffness in joints
What is responsible for producing rheumatoid factor antibodies?
B cells
A patient exposed to herpes simplex virus has been exhibiting symptoms that suggest an inflammation of the brain. This type of infection is referred to as
Encephalitis
Which of the following is true about ischemic stroke? (Select all that apply.)
Has risk factors that include atherosclerosis Can be a result of a hypercoagulable state
The pathophysiology of rheumatoid arthritis involves
Immune cells accumulating in pannus and destroying articular cartilage
It is true that scleroderma involves
Inflammation and fibrosis of connective tissue
Ankylosing spondylitis is characterized by
Inflammation, stiffness, and fusion of spinal joints
What type of gout is used to describe intervals between acute attacks?
Intercritical gout
Ankylosing spondylitis causes
Intervertebral joint fusion
The most important determinant for prescribing therapy for acute stroke is
Ischemic versus hemorrhagic cause
Which statement is true regarding systemic lupus erythematosus?
It is a chronic inflammatory disease.
Which statement is true regarding ankylosing spondylitis?
It is more common in men than in women
A college student living in a dormitory, reports a stiff neck and headache and is found to have a fever of 102° F. This information is most consistent with
Meningitis
A 60-year-old client reports pain in the knees. The client denies any previous infection or pain in the spine. The assessment data support a diagnosis of
Osteoarthritis
The most common presenting sign/ symptom with rheumatic fever is
Polyarthritis
The earliest manifestation of scleroderma is
Raynaud phenomenon
What are the criteria for diagnosing rheumatoid arthritis? (Select all that apply.)
Simultaneous symmetric swelling of joints Soft-tissue swelling of at least three joints Subcutaneous rheumatoid nodules Morning stiffness in joints
Cerebral aneurysm is most frequently the result of
Subarachnoid hemorrhage
In contrast to osteoarthritis, rheumatoid arthritis may be associated with
Systemic aching in the musculoskeletal system
A clinical finding consistent with a diagnosis of rheumatoid arthritis would be
Systemic manifestations of inflammation
Which statement is true regarding infectious (aseptic) arthritis?
The average duration of antibiotic treatment is 4 to 6 weeks
Which statement is true regarding rheumatoid arthritis?
The majority of the patients test positive for rheumatoid factor
Which statement is true regarding osteoarthritis?
There is progressive loss of articular cartilage.
Which statement is true regarding scleroderma?
There is skin thickening with deposition of connective tissue.
"Tell me again the name of that chemical that makes crystals when my gout flares up," asks the client. The nurse's best response is
Uric acid
What characteristics are consistent for acute gouty arthritis?
Weight bearing joints MTP joint of big toe Initial attacks last 1 - 14 days
Rupture of a cerebral aneurysm should be suspected if the patient reports
sudden, severe headache
Risk factors for hemorrhagic stroke include
Acute hypertension
A 6-year-old boy presents with polyarthritis. His parents report no past medical history except for a sore throat 6 weeks previously. On physical examination, a murmur is noted. The assessment data support a diagnosis of
Acute rheumatic fever
Rheumatoid arthritis involves joint inflammation caused by
Autoimmune injury
What is the pathophysiologic abnormality underlying systemic lupus erythematosus (SLE)?
Autoimmunity
The most important preventative measure for hemorrhagic stroke is
Blood pressure control
Lyme disease is caused by
Borrelia burgdorferi
It is true that encephalitis is usually
Due to a viral infection in brain cells
Which gout develops tophi crystals?
Chronic Tophaceous Gout
The chief pathologic features of osteoarthritis are
Degeneration of articular cartilage destruction of the bone under the cartilage thickening of the synovium
