NUR 265 EXAM 4 QUESTIONS AND ANSWERS

NUR 265 EXAM 4 QUESTIONS AND ANSWERS Lupus: Hallmark sign - ANS ️️ butterfly rash on face Lupus: Indication of flare - ANS ️️ Fever and fatigue *also assess BUN function *c reactive protein remains normal Lupus: Interventions - ANS ️️ -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 - ANS ️️ -hydroxychloroquine(anti-malarial) decreases absorption of UV light Scleroderma - ANS ️️ inflammatory, autoimmune connective tissue disease Scleroderma: Hallmark Sign - ANS ️️ Hard, leather-like edematous skin Late: esophageal dismotility Scleroderma: Assess - ANS ️️ Swallow safety--esophageal dysmotility (ASPIRATION) O2 circulation skin Scleroderma: Interventions - ANS ️️ 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 - ANS ️️ extreme fatigure GI symptoms dysuria blurred vision forgetfulness fibromyalgia: Assess - ANS ️️ pain level extreme fatigue GI symptoms Fibromyalgia: Interventions - ANS ️️ NSAIDS Nuerontin (gabapentin) Lyrica (pregabalin) SNRI and tricyclic antidepressants (amitripty