NUR 265 EXAM 4 QUESTIONS AND
CORRECT ANSWERS | GRADED A+ |
NEW UPDATE 2026
Lupus: Hallmark sign - ANSWERS butterfly rash on face
Lupus: Indication of flare - ANSWERS Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - ANSWERS -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 - ANSWERS -hydroxychloroquine(anti-malarial)
decreases absorption of UV light
Scleroderma - ANSWERS inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - ANSWERS Hard, leather-like edematous skin
,Late: esophageal dismotility
Scleroderma: Assess - ANSWERS Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - ANSWERS 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 - ANSWERS extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - ANSWERS pain level
extreme fatigue
GI symptoms
,Fibromyalgia: Interventions - ANSWERS 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 - ANSWERS stage 1: "bulls eye rash" and flu-like
symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - ANSWERS Skin
history of tick bites
Lyme Disease: Interventions - ANSWERS 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 - ANSWERS STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
, Give Epi
maintain airway
Latex allergy: risks - ANSWERS -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - ANSWERS 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 - ANSWERS 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 - ANSWERS -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
-do not eat raw foods; salad, cottage cheese
-do not scoop litter boxes
-no plants or soil exposure
CORRECT ANSWERS | GRADED A+ |
NEW UPDATE 2026
Lupus: Hallmark sign - ANSWERS butterfly rash on face
Lupus: Indication of flare - ANSWERS Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - ANSWERS -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 - ANSWERS -hydroxychloroquine(anti-malarial)
decreases absorption of UV light
Scleroderma - ANSWERS inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - ANSWERS Hard, leather-like edematous skin
,Late: esophageal dismotility
Scleroderma: Assess - ANSWERS Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - ANSWERS 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 - ANSWERS extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - ANSWERS pain level
extreme fatigue
GI symptoms
,Fibromyalgia: Interventions - ANSWERS 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 - ANSWERS stage 1: "bulls eye rash" and flu-like
symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - ANSWERS Skin
history of tick bites
Lyme Disease: Interventions - ANSWERS 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 - ANSWERS STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
, Give Epi
maintain airway
Latex allergy: risks - ANSWERS -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - ANSWERS 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 - ANSWERS 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 - ANSWERS -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
-do not eat raw foods; salad, cottage cheese
-do not scoop litter boxes
-no plants or soil exposure
