NUR 265 Exam 4 Questions With Correct Solutions, Already Passed!!

NUR 265 Exam 4 Questions With Correct
Solutions, Already Passed!!

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-airway
-breathing
-self-concept



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1 head and neck cancer: assess 2 Lupus: Hallmark sign



3 Lyme Disease: Assess 4 sepsis: assess



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Terms in this set (183)



Lupus: Hallmark sign butterfly rash on face

, Lupus: Indication of flare Fever and fatigue


*also assess BUN function
*c reactive protein remains normal


Lupus: Interventions -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 -hydroxychloroquine(anti-malarial) decreases
absorption of UV light


Scleroderma inflammatory, autoimmune connective tissue
disease


Scleroderma: Hallmark Sign Hard, leather-like edematous skin


Late: esophageal dismotility


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