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NURS5463 Exam 3 Questions and Correct
Answers
Staph gram stain? Ans: grape like clusters, gram positive cocci
Strep gram stain? Ans: chains or in pairs, gram positive cocci
autoimmune disease by drugs or disease triggers (EBV), UV light,
or estrogen? Ans: Systemic Lupus Erythematosus (SLE)
autoantibodies cause damage to tissue/organs, deficient
complement 3&4? Ans: SLE
common initial complaint of SLE? Ans: arthralgias
skin and kidney characteristics of SLE? Ans: Butterfly shaped,
malar rash on face, kidney most common affected organ-
glomerulonephritis
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ANA? Ans: antinuclear antibody- detects autoantibodies; positive
in SLE
anti-dsDNA? Ans: >25 during SLE exacerbation
Treatment of SLE? Ans: Methylprednisolone IV in severe case,
Prednisone for maintenance or mild flares
triggers SLE exacerbation? Ans: Sulfa and UV light
baseline ophthalmologic exam prior to ordering? Ans:
Hydroxychloroquine for SLE
perioperative in SLE? Ans: Continue meds if severe SLE, hold for
1 week if not severe for THA or TKA
localized swelling of skin and mucous tissues? Ans: Angioedema
Mast cell mediated rxn Angioedema? Ans: accompanied by
urticaria and pruritus; Tx with antihistamines and glucocorticoids
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Bradykinin mediated rxn Angioedema? Ans: doesn't involve
histamine; from ACE inhibitors
anaphylaxis Ans: usually includes urticaria or angioedema;
airway obstruction
Tx anaphylaxis with? Ans: Epi, H1 and H2 blockers,
corticosteroids if histamine blockers no controlling swelling,
glucagon to reverse BB
inflamed synovium, morning stiffness, better with activity,
symmetrical joint swelling Ans: RA
DX RA? Ans: arthrocentesis for synovial fluid analysis, ANA
negative to rule out SLE, Rheumatoid factor, Anti-CCP antibodies
1st line treatment for RA? Ans: Methotrexate- DMARD;
myelosuppression and hepatic fibrosis SE; CI in child-bearing
women
© 2025 All rights reserved
NURS5463 Exam 3 Questions and Correct
Answers
Staph gram stain? Ans: grape like clusters, gram positive cocci
Strep gram stain? Ans: chains or in pairs, gram positive cocci
autoimmune disease by drugs or disease triggers (EBV), UV light,
or estrogen? Ans: Systemic Lupus Erythematosus (SLE)
autoantibodies cause damage to tissue/organs, deficient
complement 3&4? Ans: SLE
common initial complaint of SLE? Ans: arthralgias
skin and kidney characteristics of SLE? Ans: Butterfly shaped,
malar rash on face, kidney most common affected organ-
glomerulonephritis
© 2025 All rights reserved
, 2 | Page
ANA? Ans: antinuclear antibody- detects autoantibodies; positive
in SLE
anti-dsDNA? Ans: >25 during SLE exacerbation
Treatment of SLE? Ans: Methylprednisolone IV in severe case,
Prednisone for maintenance or mild flares
triggers SLE exacerbation? Ans: Sulfa and UV light
baseline ophthalmologic exam prior to ordering? Ans:
Hydroxychloroquine for SLE
perioperative in SLE? Ans: Continue meds if severe SLE, hold for
1 week if not severe for THA or TKA
localized swelling of skin and mucous tissues? Ans: Angioedema
Mast cell mediated rxn Angioedema? Ans: accompanied by
urticaria and pruritus; Tx with antihistamines and glucocorticoids
© 2025 All rights reserved
, 3 | Page
Bradykinin mediated rxn Angioedema? Ans: doesn't involve
histamine; from ACE inhibitors
anaphylaxis Ans: usually includes urticaria or angioedema;
airway obstruction
Tx anaphylaxis with? Ans: Epi, H1 and H2 blockers,
corticosteroids if histamine blockers no controlling swelling,
glucagon to reverse BB
inflamed synovium, morning stiffness, better with activity,
symmetrical joint swelling Ans: RA
DX RA? Ans: arthrocentesis for synovial fluid analysis, ANA
negative to rule out SLE, Rheumatoid factor, Anti-CCP antibodies
1st line treatment for RA? Ans: Methotrexate- DMARD;
myelosuppression and hepatic fibrosis SE; CI in child-bearing
women
© 2025 All rights reserved
