NUR 265 EXAM 4 QUESTIONS AND ANSWERS
1. What is teaching with lupus?:
limit sun exposure 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 to dx lupus?: skin
biopsy confirms diagnosis immunologic based
lab test same as RA
,4. What are interventions with
lupus?: topical cortisone NSAIDs
chronic steroid therapy (take
in AM) immunosuppressants
(avoid large crowds)
5. what is the self management for lupus: Except fatigue as a
continuing but manageable
condition
Avoid self blame for the need
to alter activity 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 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 ottered by others
Make adjustments in your life that will help you live better
6. What are people with latex allergies usually also
allergic to?: banana, avocado, or nut allergies
7. what are Nursing diagnosises and interventions for
lupus: Persistent pain Due to chronic inflammation and hypoxia
=pain management with drug therapy =Tylenol and NSAIDs, corticosteroids
Fatigue due to chronic inflammation and hypoxia= Help patient recognize
their 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 combina-tion of immunos suppressing agents
and selective immunos suppressive agent= corticosteroids, antimalarial
drugs (hydroxychloroquine)
Potential for decrease self esteem due to changes in body image =support
positive coping mechanism/ mental health professional
8. what meds are used for management of lupus?:
, topical corticosteroids
Tylenol/ NSAIDs
hydo|ychloroquin
e steroids
immunosuppressive agents (methotrexate)
9. what is the teaching for hydroxychloroquine: Teach
patients to have frequent eye examina-tions with visual field
testing before starting the drug and every 6 months after starting drug
10. What is Lyme disease?: systemic infection caused by spirochete
borrelia burgdorferi d/t tick bite
11. What is Stage 1 with lyme?:
flu like symptoms erythema
migrans (bulls eye)
pain/stittness in
muscles/joints
symptoms begin 3-
30 days
tx abs doxy or amoxx (14-21 days)
12. What is Stage 2 with lyme?: 2-
12wks after tick bite can develop
carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial
paralysis, peripheral neuritis tx iv abx for 30 days
1. What is teaching with lupus?:
limit sun exposure 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 to dx lupus?: skin
biopsy confirms diagnosis immunologic based
lab test same as RA
,4. What are interventions with
lupus?: topical cortisone NSAIDs
chronic steroid therapy (take
in AM) immunosuppressants
(avoid large crowds)
5. what is the self management for lupus: Except fatigue as a
continuing but manageable
condition
Avoid self blame for the need
to alter activity 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 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 ottered by others
Make adjustments in your life that will help you live better
6. What are people with latex allergies usually also
allergic to?: banana, avocado, or nut allergies
7. what are Nursing diagnosises and interventions for
lupus: Persistent pain Due to chronic inflammation and hypoxia
=pain management with drug therapy =Tylenol and NSAIDs, corticosteroids
Fatigue due to chronic inflammation and hypoxia= Help patient recognize
their 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 combina-tion of immunos suppressing agents
and selective immunos suppressive agent= corticosteroids, antimalarial
drugs (hydroxychloroquine)
Potential for decrease self esteem due to changes in body image =support
positive coping mechanism/ mental health professional
8. what meds are used for management of lupus?:
, topical corticosteroids
Tylenol/ NSAIDs
hydo|ychloroquin
e steroids
immunosuppressive agents (methotrexate)
9. what is the teaching for hydroxychloroquine: Teach
patients to have frequent eye examina-tions with visual field
testing before starting the drug and every 6 months after starting drug
10. What is Lyme disease?: systemic infection caused by spirochete
borrelia burgdorferi d/t tick bite
11. What is Stage 1 with lyme?:
flu like symptoms erythema
migrans (bulls eye)
pain/stittness in
muscles/joints
symptoms begin 3-
30 days
tx abs doxy or amoxx (14-21 days)
12. What is Stage 2 with lyme?: 2-
12wks after tick bite can develop
carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial
paralysis, peripheral neuritis tx iv abx for 30 days
