Ch 44, 52

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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


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