NSG123 / NSG 123 Final Exam (Latest 2024 / 2025 Update): Medical-Surgical Nursing I | Review with Questions and Verified Answers | 100% Correct | Grade A - Herzing

Final Exam: NSG123 / NSG 123 (Latest 2024 / 2025 Update) Medical-Surgical Nursing I | Review with Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: What is systemic lupus erythematous? Answer: inflammatory autoimmune - affects nearly every organ -- can be life-threatening immune systems develops antibodies to body's own cells Q: Are white people more/less likely to have SLE? Man or woman more likey? Answer: Women (4-12x) White less likely - more Afr Amer, Hispanic, Asian, Native American Q: What are clinical manifestations of SLE? Answer: chronic state with acute flares fever, fatigue, rash, join pain/swelling - oral ulcers, alopecia, Raynauds, nephritis muscskel system, renal, nervous, CV most common (GI/liver/ocular less involved) Q: What is assessment/diagnosis for SLE? Answer: exam for edema at joints, rash, skin changes, alopecia - complete history ***malar rash on cheeks ANA (antinuclear antibody) in 95% also anemia, leukocytosis Q: T/F SLE patient should ensure regular exposure to sun to get sufficient VIt D Answer: False - sun/UV can cause exacerbation -- SLE is photosensitive avoid exposure or wear clothes/sunscreen Q: Why is SLE patient at increased risk for osteoporosis? Answer: long-term corticosteroids increases incidence encourage Ca/Vit D, weight-bearing exercise Q: What is SLE goals of pharmacological treatment based on? Answer: 1 -pain management (NSAIDs, propionic acid derivatives like ibuprofen) 2 - nonspecific immunosuppression (belimumab, corticosteroids, hydroxychloroquine, purines) Q: Lifestyle changes for SLE? Answer: -avoid risk for bleeding - SOFT toothbrush (SLE=low platelets) -rest -avoid crowds Q: What is diff between RA and osteoarthritis? Answer: OA - degenerative, morning stiffness only 30 mins, asymmetrics, cartilage loss, heberden's nodes RA - autoimmune, inflamed synovium, symmetrical, morning stiffness 30+ mins, extra-articular movement Q: What can help distinguish RA from SLE? Answer: Both - pain, fever, fatigue, inflamm RA - red/warm joints, nodules, hand/foot deformity or dislocations SLE - hair loss, butterfly rash on cheeks, weight change, photosensitive Q: Hydroxychloroquine, prescribed for SLE can be damaging to what organ? Symptoms would need immediate attention Answer: eyes - retinal cells near macula -- decreased central vision