NUR 265 Exam 4 | Questions with 100% Verified Answers | Latest Update 2026/2027

NUR 265 Exam 4 | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: Lupus: Hallmark sign
Answer: butterfly rash on face

Question: Lupus: Indication of flare
Answer: Fever and fatigue
*also assess BUN function
*c reactive protein remains normal

Question: 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

Question: Lupus: medical management
Answer: -hydroxychloroquine(anti-malarial) decreases absorption of UV light

Question: Scleroderma
Answer: inflammatory, autoimmune connective tissue disease

Question: Scleroderma: Hallmark Sign
Answer: Hard, leather-like edematous skin
Late: esophageal dismotility

Question: Scleroderma: Assess
Answer: Swallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin

Question: 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

Question: fibromyalgia: S/sx
Answer: extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness

,Question: fibromyalgia: Assess
Answer: pain level
extreme fatigue
GI symptoms

Question: Fibromyalgia: Interventions
Answer: NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming, rowing, water
exercise)

Question: Lyme Disease: Hallmark sign
Answer: stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis

Question: Lyme Disease: Assess
Answer: Skin
history of tick bites

Question: 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

Question: Allergic Reaction Priority
Answer: STOP THE INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway

Question: Latex allergy: risks
Answer: -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts

Question: Anaphylactic shock
Answer: AIRWAY--give epi IV or IM STAT and intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids

, Question: Epinephrine Auto-injector teaching
Answer: always carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
keep epi in cool dark place.

Question: Immunocompromised Patient
Answer: -Do not drink anything that has been sitting out
-take temp at least once per day
-clean toothbrush once weekly in diswasher or bleach solution
-do not eat raw foods; salad, cottage cheese
-do not scoop litter boxes
-no plants or soil exposure
-antibacterial soap
-AVOID reptiles

Question: HIV: Assess
Answer: CD4 count
ELISA test once per year for at risk patients

Question: HIV: Interventions
Answer: PREVENTION:
-condoms
-PreP (truvada) must take 4 consecutive days in a row before protected; cant miss more
than one dose in a row
-needle safety
-post exposure prophylaxis-start cART within 24-36 hours of exposure

Question: HIV: Nutrition
Answer: high calorie
high protein
low fat
small frequent meals
thrush--treat with anitfungal

Question: HIV tx: HAART/cART
Answer: DOES NOT CURE
Does not prevent secondary/opportunistic infections
MUST TAKE 90% of the time --otherwise resistance will occur

Question: HIV: complications --- AIDS
Answer: CD4 count less than 200mmhg
most likely to experience opportunistic infections
--I.e Pneumocystic jiroveci pneumonia (ASSESS AIRWAY!!)
consult pallative care/hospice