NUR 265 EXAM 4 2025 UPDATE WITH
COMPLETE SOLUTION
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: 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
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - correct answer <<<<<💕💕💕✔✔AIRWAY--give epi IV or IM STAT and
intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
Epinephrine Auto-injector teaching - correct 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.
Immunocompromised Patient - correct 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
COMPLETE SOLUTION
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: 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
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - correct answer <<<<<💕💕💕✔✔AIRWAY--give epi IV or IM STAT and
intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
Epinephrine Auto-injector teaching - correct 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.
Immunocompromised Patient - correct 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
