NUR 265 EXAM 4 2026 EXPERT
VERIFED ACE THE TEST
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)
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, 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
VERIFED ACE THE TEST
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)
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, 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
