NURS 265 NEWEST UPDATE 2024- 2025 FINAL EXAM
REVIEW/ ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
What represents biological predisposition (genetics) - Correct Answer - Diathesis
What represents environmental stress or trauma (triggers the disorder)? - Correct
Answer – Stress
What is Lupus? - Correct Answer - autoimmune, chronic, progressive, inflammatory
disorder
What is the 1st sign of a flare up with Lupus? - Correct Answer - fever
What are s/s of lupus? - Correct Answer - joint pain
butterfly rash
discoid lesions
What are signs that lupus has caused pericarditis? - Correct Answer - techy
chest pain
myocardial ischemia
What is teaching with lupus? - Correct Answer - limit sun exposure
monitor body temp
prig can trigger
pat skin dry/clean w/ mild soap
pg. 1
,avoid alcohol or powder
no live vaccine for 30 days before Tx
What lab is done to dx lupus? - Correct Answer - skin biopsy
What are interventions with lupus? - Correct Answer - topical cortisone
NSAIDs
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
What is scleroderma? - Correct Answer - autoimmune, chronic, inflammation of tissue
that becomes fibrotic & then sclerotic (hard)
What are s/s of scleroderma? - Correct Answer - dysphagia
arthralgia & stiffness
painless, symmetric pitting edema
skin taut, shiny
decrease skin elasticity
decrease ROM
join contractures & ulcers
malabsorption (diarrheal stools)
What can scleroderma lead to? - Correct Answer - calcinosis
Raynaud’s
esophageal dysmotility
sclerodactyly
telangiectasia
cardiac dysrhythmias
stiff lung
pg. 2
, renal (decrease u/o & hypertension)
What lab is done to dx scleroderma? - Correct Answer - skin biopsy
What teaching for scleroderma? - Correct Answer - HOB at least 60 during meal & 1hr
after
mild soap & lotion
small freq meals
avoid caffeine, pepper, spice, & alcohol
avoid cold room temp
no smoking
wear socks & gloves
What are interventions with scleroderma? - Correct Answer - force into
remission/decrease progression
systemic steroids & immunosuppressants
Bosentan
What to monitor while on Bosentan? - Correct Answer - watch for liver injury & birth
defects
What is fibromyalgia? - Correct Answer - Chronic pain and stiffness, no inflammation
What worsens fibromyalgia? - Correct Answer - stress, sleep deprivation, increased
activity and weather
What are cardio s/s of fibromyalgia? - Correct Answer - dyspnea
chest pain
dysrhythmias
pg. 3
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