NUR 265 EXAM 4 | QUESTIONS AND ANSWERS | 2026
UPDATE WITH 100% SOLVED SOLUTION
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
UPDATE WITH 100% SOLVED SOLUTION
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
