NUR 265 EXAM 4 with questions and
100% correct answers actual
exam!!!2026
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: medical management - ANSWER --hydroxychloroquine(anti-malarial) decreases
absorption of UV light
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
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
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - ANSWER -AIRWAY--give epi IV or IM STAT and intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
Epinephrine Auto-injector teaching - ANSWER -always carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
100% correct answers actual
exam!!!2026
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: medical management - ANSWER --hydroxychloroquine(anti-malarial) decreases
absorption of UV light
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
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
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - ANSWER -AIRWAY--give epi IV or IM STAT and intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
Epinephrine Auto-injector teaching - ANSWER -always carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
