NUR 265 Exam 4 (2023/2024) Questions with
Answers ACTUAL EXAM
1). Lupus: hallmark sign
Ans: butterfly rash on face
2). Lupus: indication of flare
Ans: Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
3). Lupus: interventions
Ans: -Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
4). Lupus: medical management
Ans: -hydroxychloroquine(anti-malarial) decreases absorption of UV light
Ans: aspiration precautions (keep HOB at 60 degrees during meals and after)
skin protection measures
small frequent meals--avoid caffeine and alcohol
-avoid spices, caffeine and pepper
9). Fibromyalgia: s/sx
Ans: extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
Ans: prevention!
Insect repellant with DEET
early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
have pets wear tick collars
15). Allergic reaction priority
Ans: STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway
16). Latex allergy: risks
Ans: -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
17). Anaphylactic shock
Ans: AIRWAY--give epi IV or IM STAT and intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
18). Epinephrine auto-injector teaching
Ans: always carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
keep epi in cool dark place.
19). Immunocompromised patient
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