NUR 265 EXAM 4 Questions and Answers
with Verified Solutions | Latest Updated 2026
Lupus: Hallmark sign butterfly rash on face
Lupus: Indication of flare Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -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 -hydroxychloroquine(anti-malarial)
decreases
absorption of UV light
Scleroderma inflammatory, autoimmune connective
tissue
disease
Scleroderma: Hallmark Sign Hard, leather-like edematous skin
Late: esophageal dismotility
,Scleroderma: Assess Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions 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 extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions 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 stage 1: "bulls eye rash" and flu-like
symptoms
Stage 2: facial paralysis, carditis,
meningitis
Lyme Disease: Assess Skin
history of tick bites
Lyme Disease: Interventions 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 STOP THE INFUSION/ELIMINATE the
trigger, then
STOP the immune response
Give Epi
maintain airway
Latex allergy: risks -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some
nuts
with Verified Solutions | Latest Updated 2026
Lupus: Hallmark sign butterfly rash on face
Lupus: Indication of flare Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -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 -hydroxychloroquine(anti-malarial)
decreases
absorption of UV light
Scleroderma inflammatory, autoimmune connective
tissue
disease
Scleroderma: Hallmark Sign Hard, leather-like edematous skin
Late: esophageal dismotility
,Scleroderma: Assess Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions 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 extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions 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 stage 1: "bulls eye rash" and flu-like
symptoms
Stage 2: facial paralysis, carditis,
meningitis
Lyme Disease: Assess Skin
history of tick bites
Lyme Disease: Interventions 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 STOP THE INFUSION/ELIMINATE the
trigger, then
STOP the immune response
Give Epi
maintain airway
Latex allergy: risks -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some
nuts
