NRSG 4580 | Rheumatic Disorders Exam Questions With
Complete Solutions
#1 medication for rheumatoid arthritis Correct Answer
DMARDS
3 pathophysiology characteristics of rheumatic disease Correct
Answer Inflammation
Autoimmune (HALLMARK)
Degeneration
Antidote for acetaminophen (Tylenol) Correct Answer
Mucomyst (acetylcysteine)
Considerations for acetaminophen (Tylenol) Correct Answer
Check liver enzymes
Max dosage is 4,000 mg
Taken q 6 hours
Considerations for Aspirin (Salicylates) Correct Answer
Monitor for GI bleeding (take with meals to prevent GI upset)
Do not give to children (worried about Reye syndrome)
Considerations for NSAIDs (Celecoxib [Celebrex]) Correct
Answer Used for people @ high risk of GI ulcers (spares COX-
1 enzymes)
Higher risk of causing CVA & MI (more clotting)
Considerations for NSAIDs (Ibuprofen, Naproxen, etc.)
Correct Answer Give with food to stop GI upset
GI BLEED**
, Taken q 4-6 hours
Fibromyalgia Correct Answer Chronic condition
characterized BY PAIN & sleep disturbances
They are on MANY medications to try to stop the pain
Gout is more common in Correct Answer MEN
Gout is related to increased Correct Answer Uric acid
Gout risk factors Correct Answer Red/organ meat intake
ETOH
Main S/S of gout Correct Answer TOPHI (commonly in the
GREAT TOE) causing swelling, redness, and PAIN!!
Most common assessment findings for patients with rheumatic
conditions are associated with the Correct Answer
Musculoskeletal system (especially around joints)
NSAIDs should often be prescribed with _______ to decrease
GI ulcer risk. Correct Answer PPIs
Osteoarthritis Correct Answer Non-autoimmune
DEGENERATIVE diseases ('wear and tear' disease)
Rheumatoid arthritis Correct Answer Autoimmune disease of
synovial tissue that results in collagen break down & erosion of
bones
Complete Solutions
#1 medication for rheumatoid arthritis Correct Answer
DMARDS
3 pathophysiology characteristics of rheumatic disease Correct
Answer Inflammation
Autoimmune (HALLMARK)
Degeneration
Antidote for acetaminophen (Tylenol) Correct Answer
Mucomyst (acetylcysteine)
Considerations for acetaminophen (Tylenol) Correct Answer
Check liver enzymes
Max dosage is 4,000 mg
Taken q 6 hours
Considerations for Aspirin (Salicylates) Correct Answer
Monitor for GI bleeding (take with meals to prevent GI upset)
Do not give to children (worried about Reye syndrome)
Considerations for NSAIDs (Celecoxib [Celebrex]) Correct
Answer Used for people @ high risk of GI ulcers (spares COX-
1 enzymes)
Higher risk of causing CVA & MI (more clotting)
Considerations for NSAIDs (Ibuprofen, Naproxen, etc.)
Correct Answer Give with food to stop GI upset
GI BLEED**
, Taken q 4-6 hours
Fibromyalgia Correct Answer Chronic condition
characterized BY PAIN & sleep disturbances
They are on MANY medications to try to stop the pain
Gout is more common in Correct Answer MEN
Gout is related to increased Correct Answer Uric acid
Gout risk factors Correct Answer Red/organ meat intake
ETOH
Main S/S of gout Correct Answer TOPHI (commonly in the
GREAT TOE) causing swelling, redness, and PAIN!!
Most common assessment findings for patients with rheumatic
conditions are associated with the Correct Answer
Musculoskeletal system (especially around joints)
NSAIDs should often be prescribed with _______ to decrease
GI ulcer risk. Correct Answer PPIs
Osteoarthritis Correct Answer Non-autoimmune
DEGENERATIVE diseases ('wear and tear' disease)
Rheumatoid arthritis Correct Answer Autoimmune disease of
synovial tissue that results in collagen break down & erosion of
bones
