NUR 265 EXAM 4 questions and answers A+ Grade
2026\2027
Lupus: Hallmark sign
- correct answer butterfly rash on face
Lupus: Indication of flare
- correct answer Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions
- correct 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
- correct answer -hydroxychloroquine(anti-malarial) decreases absorption of UV light
Scleroderma
- correct answer inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign
- correct answer Hard, leather-like edematous skin
,Late: esophageal dismotility
Scleroderma: Assess
- correct answer Swallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions
- correct 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
- correct answer extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess
- correct answer pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions
- correct 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
- correct answer stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess
- correct answer Skin
history of tick bites
Lyme Disease: Interventions
- correct 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
- correct answer STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks
- correct answer -frequent use of latex condoms
-healthcare workers
2026\2027
Lupus: Hallmark sign
- correct answer butterfly rash on face
Lupus: Indication of flare
- correct answer Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions
- correct 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
- correct answer -hydroxychloroquine(anti-malarial) decreases absorption of UV light
Scleroderma
- correct answer inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign
- correct answer Hard, leather-like edematous skin
,Late: esophageal dismotility
Scleroderma: Assess
- correct answer Swallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions
- correct 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
- correct answer extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess
- correct answer pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions
- correct 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
- correct answer stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess
- correct answer Skin
history of tick bites
Lyme Disease: Interventions
- correct 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
- correct answer STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks
- correct answer -frequent use of latex condoms
-healthcare workers
