9/13/26, 5:29 AM Chapter 65: Nursing Management - Arthritis and Connective Tissue Diseases Flashcards | Quizlet
A patient with rheumatoid arthritis is experiencing articular Correct answers: b, e
involvement of the joints. The nurse recognizes that these Rationale: Morning stiffness may last from 60 minutes to several hours or more,
characteristic changes include (select all that apply) depending on disease activity. Metatarsal head dislocation and subluxation in the
feet may cause pain and walking disability. Joint symptoms occur symmetrically and
a. bamboo-shaped fingers. frequently affect the small joints of the hands (proximal interphalangeal [PIP] and
metacarpophalangeal [MCP] joints) and feet (metatarsophalangeal [MTP] joints).
b. metatarsal head dislocation in feet. Larger peripheral joints such as the wrists, elbows, shoulders, knees, hips, ankles, and
jaw may also be involved. Rheumatoid arthritis (RA) is an inflammatory disorder. In
c. noninflammatory pain in large joints. early disease, the fingers may become spindle-shaped from synovial hypertrophy
and thickening of the joint capsule.
d. asymmetric involvement of small joints.
e. morning stiffness lasting 60 minutes or more.
When administering medications to the patient with gout, Correct answer: b
the nurse would recognize that which drug is used as a Rationale: Febuxostat (Uloric), a selective inhibitor of xanthine oxidase, is
treatment for this disease? administered for long-term management of hyperuricemia in persons with chronic
gout. An acute episode of gout is treated with colchicine and nonsteroidal
a. Colchicine antiinflammatory drugs (NSAIDs).
b. Febuxostat
c. Sulfasalazine
d. Cyclosporine
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, 9/13/26, 5:29 AM Chapter 65: Nursing Management - Arthritis and Connective Tissue Diseases Flashcards | Quizlet
The nurse should teach the patient with ankylosing Correct answer: a
spondylitis the importance of Rationale: Patients with ankylosing spondylitis (AS) should exercise after pain and
stiffness are managed. Postural control is important for minimizing spinal deformity.
a. regularly exercising and maintaining proper posture. The exercise regimen should include back, neck, and chest stretches. The nurse
should educate the patient with AS about regular exercise and attention to posture,
b. avoiding extremes in environmental temperatures. local moist-heat applications, and knowledgeable use of drugs. The nurse should
discourage excessive physical exertion during periods of active flare-up of the
c. maintaining usual physical activity during flare-ups. disease. Proper positioning at rest is essential. The mattress should be firm, and the
patient should sleep on their back with a flat pillow, avoiding positions that
d. applying hot and cool compresses for relief of local encourage flexion deformity. Postural training emphasizes avoiding spinal flexion
symptoms. (e.g., leaning over a desk), heavy lifting, and prolonged walking, standing, or sitting.
In teaching a patient with SLE about the disorder, the nurse Correct answer: d
knows that the pathophysiology of SLE includes Rationale: Systemic lupus erythematosus (SLE) is characterized by the production of
many autoantibodies against nucleic acids (e.g., single-and double-stranded DNA),
a. circulating immune complexes formed from IgG erythrocytes, coagulation proteins, lymphocytes, platelets, and many other self-
autoantibodies reacting with IgG. proteins. Autoimmune reactions characteristically are directed against constituents of
the cell nucleus (e.g., antinuclear antibodies [ANAs]), particularly DNA. Circulating
b. an autoimmune T-cell reaction that results in destruction immune complexes containing antibody against DNA are deposited in the basement
of the deep dermal skin layer. membranes of capillaries in the kidneys, heart, skin, brain, and joints. Complement is
activated, and inflammation occurs. The overaggressive antibody response is also
c. immunologic dysfunction leading to chronic inflammation related to activation of B and T cells. The specific manifestations of SLE depend on
in the cartilage and muscles. which cell types or organs are involved. SLE is a type III hypersensitivity response.
d. the production of a variety of autoantibodies directed
against components of the cell nucleus.
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A patient with rheumatoid arthritis is experiencing articular Correct answers: b, e
involvement of the joints. The nurse recognizes that these Rationale: Morning stiffness may last from 60 minutes to several hours or more,
characteristic changes include (select all that apply) depending on disease activity. Metatarsal head dislocation and subluxation in the
feet may cause pain and walking disability. Joint symptoms occur symmetrically and
a. bamboo-shaped fingers. frequently affect the small joints of the hands (proximal interphalangeal [PIP] and
metacarpophalangeal [MCP] joints) and feet (metatarsophalangeal [MTP] joints).
b. metatarsal head dislocation in feet. Larger peripheral joints such as the wrists, elbows, shoulders, knees, hips, ankles, and
jaw may also be involved. Rheumatoid arthritis (RA) is an inflammatory disorder. In
c. noninflammatory pain in large joints. early disease, the fingers may become spindle-shaped from synovial hypertrophy
and thickening of the joint capsule.
d. asymmetric involvement of small joints.
e. morning stiffness lasting 60 minutes or more.
When administering medications to the patient with gout, Correct answer: b
the nurse would recognize that which drug is used as a Rationale: Febuxostat (Uloric), a selective inhibitor of xanthine oxidase, is
treatment for this disease? administered for long-term management of hyperuricemia in persons with chronic
gout. An acute episode of gout is treated with colchicine and nonsteroidal
a. Colchicine antiinflammatory drugs (NSAIDs).
b. Febuxostat
c. Sulfasalazine
d. Cyclosporine
https://quizlet.com/110234938/chapter-65-nursing-management-arthritis-and-connective-tissue-diseases-flash-cards/?funnelUUID=9255c9a7-e351-4cab-a2f5-9600fb06ff90 3/14
, 9/13/26, 5:29 AM Chapter 65: Nursing Management - Arthritis and Connective Tissue Diseases Flashcards | Quizlet
The nurse should teach the patient with ankylosing Correct answer: a
spondylitis the importance of Rationale: Patients with ankylosing spondylitis (AS) should exercise after pain and
stiffness are managed. Postural control is important for minimizing spinal deformity.
a. regularly exercising and maintaining proper posture. The exercise regimen should include back, neck, and chest stretches. The nurse
should educate the patient with AS about regular exercise and attention to posture,
b. avoiding extremes in environmental temperatures. local moist-heat applications, and knowledgeable use of drugs. The nurse should
discourage excessive physical exertion during periods of active flare-up of the
c. maintaining usual physical activity during flare-ups. disease. Proper positioning at rest is essential. The mattress should be firm, and the
patient should sleep on their back with a flat pillow, avoiding positions that
d. applying hot and cool compresses for relief of local encourage flexion deformity. Postural training emphasizes avoiding spinal flexion
symptoms. (e.g., leaning over a desk), heavy lifting, and prolonged walking, standing, or sitting.
In teaching a patient with SLE about the disorder, the nurse Correct answer: d
knows that the pathophysiology of SLE includes Rationale: Systemic lupus erythematosus (SLE) is characterized by the production of
many autoantibodies against nucleic acids (e.g., single-and double-stranded DNA),
a. circulating immune complexes formed from IgG erythrocytes, coagulation proteins, lymphocytes, platelets, and many other self-
autoantibodies reacting with IgG. proteins. Autoimmune reactions characteristically are directed against constituents of
the cell nucleus (e.g., antinuclear antibodies [ANAs]), particularly DNA. Circulating
b. an autoimmune T-cell reaction that results in destruction immune complexes containing antibody against DNA are deposited in the basement
of the deep dermal skin layer. membranes of capillaries in the kidneys, heart, skin, brain, and joints. Complement is
activated, and inflammation occurs. The overaggressive antibody response is also
c. immunologic dysfunction leading to chronic inflammation related to activation of B and T cells. The specific manifestations of SLE depend on
in the cartilage and muscles. which cell types or organs are involved. SLE is a type III hypersensitivity response.
d. the production of a variety of autoantibodies directed
against components of the cell nucleus.
https://quizlet.com/110234938/chapter-65-nursing-management-arthritis-and-connective-tissue-diseases-flash-cards/?funnelUUID=9255c9a7-e351-4cab-a2f5-9600fb06ff90 4/14
