NUR 265 EXAM 4 WITH ACTUAL QUESTIONS WITH
CORRECT VERIFIED ANSWERS| 100 % VERIFIED BY
EXPERTS | GRADED A+
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 -
Give Epi
maintain ANSWER STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
airway
Latex allergy: risks - ANSWER -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
CORRECT VERIFIED ANSWERS| 100 % VERIFIED BY
EXPERTS | GRADED A+
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 -
Give Epi
maintain ANSWER STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
airway
Latex allergy: risks - ANSWER -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
