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NUR 265 EXAM 4 QUESTIONS WITH ANSWERS

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Course NUR 265
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NUR 265 EXAM 4 QUESTIONS WITH ANSWERS

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NUR 265 EXAM 4 QUESTIONS WITH
// // // // //




ANSWERS
// //




Lupus: Hallmark sign - CORRECT ANSWERS(S)✔✔butterfly rash
// // // // // //



on face
// //




Lupus: Indication of flare - CORRECT ANSWERS(S)✔✔Fever and
// // // // // // //



fatigue
// //




*also assess BUN function
// // //




*c reactive protein remains normal
// // // //




Lupus: Interventions - CORRECT ANSWERS(S)✔✔-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 ANSWERS(S)✔✔-
// // // // //



hydroxychloroquine(anti-malarial) decreases absorption of UV // // // //



light
//

,Scleroderma - CORRECT ANSWERS(S)✔✔inflammatory,
// // //



autoimmune connective tissue disease
// // // //




Scleroderma: Hallmark Sign - CORRECT ANSWERS(S)✔✔Hard,
// // // // //



leather-like edematous skin
// // //




Late: esophageal dismotility
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Scleroderma: Assess - CORRECT ANSWERS(S)✔✔Swallow safety--
// // // // //



esophageal dysmotility (ASPIRATION)
// //




O2
circulation
skin


Scleroderma: Interventions - CORRECT ANSWERS(S)✔✔aspiration
// // // //



precautions (keep HOB at 60 degrees during meals and after)
// // // // // // // // // //




skin protection measures
// //




small frequent meals--avoid caffeine and alcohol
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-avoid spices, caffeine and pepper
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fibromyalgia: S/sx - CORRECT ANSWERS(S)✔✔extreme fatigure
// // // // //

,GI symptoms
// //




dysuria
blurred vision //




forgetfulness


fibromyalgia: Assess - CORRECT ANSWERS(S)✔✔pain level
// // // // //




extreme fatigue //




GI symptoms
//




Fibromyalgia: Interventions - CORRECT ANSWERS(S)✔✔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 ANSWERS(S)✔✔stage 1:
// // // // // // //



"bulls eye rash" and flu-like symptoms
// // // // // // //




Stage 2: facial paralysis, carditis, meningitis
// // // // //




Lyme Disease: Assess - CORRECT ANSWERS(S)✔✔Skin
// // // // //

, history of tick bites// // //




Lyme Disease: Interventions - CORRECT
// // // //



ANSWERS(S)✔✔prevention!
//




Insect repellant with DEET
// // //




early stage--doxycycline antibiotics ORAL
// // //




late stage--Iv antibiotics (ceftriaxone)
// // //




avoid tall grass
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wear light colored clothing
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have pets wear tick collars
// // // //




Allergic Reaction Priority - CORRECT ANSWERS(S)✔✔STOP THE
// // // // // //



INFUSION/ELIMINATE the trigger, then STOP the immune
// // // // // // //



response
//




Give Epi
// //




maintain airway //




Latex allergy: risks - CORRECT ANSWERS(S)✔✔-frequent use of
// // // // // // //



latex condoms
// //




-healthcare workers //




-allergy to avocados, bananas, and some nuts
// // // // // //

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