NUR 265 Exam 4
1. What is teaching limit sun exposure
with lupus? monitor body temp
preg can trigger
pat skin dry/clean w/ mild soap
avoid alcohol or powder
no live vaccine for 30 days before tx
2. What is lupus? an immune system generates antibodies against histones and DNA released by
normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney
disfunction
3. What labs is done skin biopsy confirms diagnosis
to dx lupus? immunologic based lab test same as RA
4. What are inter- topical cortisone
ventions with lu- NSAIDs
pus? chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
5. what is the self Except fatigue as a continuing but manageable condition
management for Avoid self blame for the need to alter activity
lupus Keep in mind that your health comes 1st
Make rest time a priority and make sure your family knows why
If you smoke stop and avoid nicotine in any form
Plan ahead and print orthodox your activities this are activities keeping in mind
that you do not have to be a superperson
Group your errands when driving starting with those further from home and
heading toward home
When possible shop online and have items delivered directly to you
Prepare meals in advance on less busy days
Is when possible prepare items while sitting
Carefully select which activities and events you can attend or participate in and
, NUR 265 Exam 4
which ones you must regretfully decline
Work on asking for what you need asking for help will become easier with time
and practice
accept help offered by others
Make adjustments in your life that will help you live better
6. What are people banana, avocado, or nut allergies
with latex aller-
gies usually also
allergic to?
7. what are Nursing Persistent pain Due to chronic inflammation and hypoxia =pain management with
diagnosises and drug therapy =Tylenol and NSAIDs, corticosteroids
interventions for Fatigue due to chronic inflammation and hypoxia= Help patient recognize their
lupus health must come 1st and learn to make lifestyle choices to improve endurance
and prevent excessive fatigue
potential for loss of tissue integrity and organ failure with progression = Drug
therapy involving is involving combination of immunos suppressing agents and
selective immunos suppressive agent= corticosteroids, antimalarial drugs (hy-
droxychloroquine)
Potential for decrease self esteem due to changes in body image =support
positive coping mechanism/ mental health professional
8. what meds are topical corticosteroids
used for man- Tylenol/ NSAIDs
agement of lu- hydo|ychloroquine
pus? steroids
immunosuppressive agents (methotrexate)
9. what is the teach- Teach patients to have frequent eye examinations with visual field testing before
ing for hydroxy- starting the drug and every 6 months after starting drug
chloroquine
, NUR 265 Exam 4
10. What is Lyme dis- systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
ease?
11. What is Stage 1 flu like symptoms
with lyme? erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
12. What is Stage 2 2-12wks after tick bite
with lyme? can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
13. What is stage3 months-years after bite
with lyme? arthritis is 1st and only symptom
14. What is teaching avoid heavily wooded areas
with lyme? wear light colors
DEET repellent
long sleeves & pants
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
15. How do you re- with tweezers making sure you remove the tick intact within 36 hours
move ticks?
16. What is the pur- to provide protection by neutralizing, eliminating or destroying organisms that
pose of inflam- invade the body.
mation and im-
munity?
17.
, NUR 265 Exam 4
What are the dif- type 1= immediate( hay fever, allergic asthma or anaphylaxis)
ferent types of type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
reactions? type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
18. How are aller- inhalation, ingestion, injection, contraction (latex, pollen)
gens contracted?
19. What is an aller- excessive inflammation in response to the presence of an antigen to which the pt
gic reaction? has been previously exposed
20. What is an aller- anaphylaxis
gic reaction type
1?
21. What are s/s of al- rhinorrhea, sneezing, itchy, red, watery eyes
lergies?
22. How are allergies allergy skin testing for type 1, history and s/s during allergen exposure
dx'ed?
23. What are inter- avoidance therapy
ventions with al- decongestant
lergy? antihistamine
corticosteroids
desensilization therapy (allergy shots)
24. What are s/s of swollen lips, tongue, soft palate, uvula, widespread hives, pruritus & flushing,
anaphylaxis? hypotension, resp distress, dyspnea, bronchospasms, wheezes, stridor, cyanosis,
low perfusion, hypotension, loss of consciousness, incontinence, absent deep
tendon reflex
25. What to teach avoid allergens
with
1. What is teaching limit sun exposure
with lupus? monitor body temp
preg can trigger
pat skin dry/clean w/ mild soap
avoid alcohol or powder
no live vaccine for 30 days before tx
2. What is lupus? an immune system generates antibodies against histones and DNA released by
normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney
disfunction
3. What labs is done skin biopsy confirms diagnosis
to dx lupus? immunologic based lab test same as RA
4. What are inter- topical cortisone
ventions with lu- NSAIDs
pus? chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
5. what is the self Except fatigue as a continuing but manageable condition
management for Avoid self blame for the need to alter activity
lupus Keep in mind that your health comes 1st
Make rest time a priority and make sure your family knows why
If you smoke stop and avoid nicotine in any form
Plan ahead and print orthodox your activities this are activities keeping in mind
that you do not have to be a superperson
Group your errands when driving starting with those further from home and
heading toward home
When possible shop online and have items delivered directly to you
Prepare meals in advance on less busy days
Is when possible prepare items while sitting
Carefully select which activities and events you can attend or participate in and
, NUR 265 Exam 4
which ones you must regretfully decline
Work on asking for what you need asking for help will become easier with time
and practice
accept help offered by others
Make adjustments in your life that will help you live better
6. What are people banana, avocado, or nut allergies
with latex aller-
gies usually also
allergic to?
7. what are Nursing Persistent pain Due to chronic inflammation and hypoxia =pain management with
diagnosises and drug therapy =Tylenol and NSAIDs, corticosteroids
interventions for Fatigue due to chronic inflammation and hypoxia= Help patient recognize their
lupus health must come 1st and learn to make lifestyle choices to improve endurance
and prevent excessive fatigue
potential for loss of tissue integrity and organ failure with progression = Drug
therapy involving is involving combination of immunos suppressing agents and
selective immunos suppressive agent= corticosteroids, antimalarial drugs (hy-
droxychloroquine)
Potential for decrease self esteem due to changes in body image =support
positive coping mechanism/ mental health professional
8. what meds are topical corticosteroids
used for man- Tylenol/ NSAIDs
agement of lu- hydo|ychloroquine
pus? steroids
immunosuppressive agents (methotrexate)
9. what is the teach- Teach patients to have frequent eye examinations with visual field testing before
ing for hydroxy- starting the drug and every 6 months after starting drug
chloroquine
, NUR 265 Exam 4
10. What is Lyme dis- systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
ease?
11. What is Stage 1 flu like symptoms
with lyme? erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
12. What is Stage 2 2-12wks after tick bite
with lyme? can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis, peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
13. What is stage3 months-years after bite
with lyme? arthritis is 1st and only symptom
14. What is teaching avoid heavily wooded areas
with lyme? wear light colors
DEET repellent
long sleeves & pants
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
15. How do you re- with tweezers making sure you remove the tick intact within 36 hours
move ticks?
16. What is the pur- to provide protection by neutralizing, eliminating or destroying organisms that
pose of inflam- invade the body.
mation and im-
munity?
17.
, NUR 265 Exam 4
What are the dif- type 1= immediate( hay fever, allergic asthma or anaphylaxis)
ferent types of type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
reactions? type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
18. How are aller- inhalation, ingestion, injection, contraction (latex, pollen)
gens contracted?
19. What is an aller- excessive inflammation in response to the presence of an antigen to which the pt
gic reaction? has been previously exposed
20. What is an aller- anaphylaxis
gic reaction type
1?
21. What are s/s of al- rhinorrhea, sneezing, itchy, red, watery eyes
lergies?
22. How are allergies allergy skin testing for type 1, history and s/s during allergen exposure
dx'ed?
23. What are inter- avoidance therapy
ventions with al- decongestant
lergy? antihistamine
corticosteroids
desensilization therapy (allergy shots)
24. What are s/s of swollen lips, tongue, soft palate, uvula, widespread hives, pruritus & flushing,
anaphylaxis? hypotension, resp distress, dyspnea, bronchospasms, wheezes, stridor, cyanosis,
low perfusion, hypotension, loss of consciousness, incontinence, absent deep
tendon reflex
25. What to teach avoid allergens
with
