NUR 265 EXAM 4 questions
fully solved & updated 2024-
2025
Lupus: Hallmark sign - answer butterfly rash on face
Lupus: Indication of flare - answer Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - answer -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
Lupus: medical management - answer -hydroxychloroquine(anti-
malarial) decreases absorption of UV light
Scleroderma - answer inflammatory, autoimmune connective tissue
disease
Scleroderma: Hallmark Sign - answer Hard, leather-like edematous
skin
Late: esophageal dismotility
,Scleroderma: Assess - answer Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - answer 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
fibromyalgia: S/sx - answer extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - answer pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - answer NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
, promote sleep and low impact exercise (stretching, walking,
swimming, rowing, water exercise)
Lyme Disease: Hallmark sign - answer stage 1: "bulls eye rash" and
flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - answer Skin
history of tick bites
Lyme Disease: Interventions - answer 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
Allergic Reaction Priority - answer STOP THE INFUSION/ELIMINATE
the trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks - answer -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
fully solved & updated 2024-
2025
Lupus: Hallmark sign - answer butterfly rash on face
Lupus: Indication of flare - answer Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - answer -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
Lupus: medical management - answer -hydroxychloroquine(anti-
malarial) decreases absorption of UV light
Scleroderma - answer inflammatory, autoimmune connective tissue
disease
Scleroderma: Hallmark Sign - answer Hard, leather-like edematous
skin
Late: esophageal dismotility
,Scleroderma: Assess - answer Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - answer 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
fibromyalgia: S/sx - answer extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - answer pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - answer NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
, promote sleep and low impact exercise (stretching, walking,
swimming, rowing, water exercise)
Lyme Disease: Hallmark sign - answer stage 1: "bulls eye rash" and
flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - answer Skin
history of tick bites
Lyme Disease: Interventions - answer 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
Allergic Reaction Priority - answer STOP THE INFUSION/ELIMINATE
the trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks - answer -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
