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NUR 265 EXAM 4 QUESTIONS AND CORRECT ANSWERS.
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NUR 265 EXAM 4 QUESTIONS AND CORRECT ANSWERS.
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NUR 265 EXAM 4 QUESTIONS AND CORRECT ANSWERSLupus: 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
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