NUR 265 EXAM 4 Questions with 100% Correct
Answers
Lupus: Hallmark sign Correct Answer: butterfly rash on
face
Lupus: Indication of flare Correct Answer: Fever and
fatigue
*also assess BUN function
*c reactive protein remains normal
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: Assess Correct Answer: pain level
extreme fatigue
GI symptoms
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
Answers
Lupus: Hallmark sign Correct Answer: butterfly rash on
face
Lupus: Indication of flare Correct Answer: Fever and
fatigue
*also assess BUN function
*c reactive protein remains normal
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: Assess Correct Answer: pain level
extreme fatigue
GI symptoms
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
