NUR 265 Exam 4 | Questions and Well
Detailed Answers | 2026 Updated | 100%
Correct – Galen College
Lupus: Hallmark sign -CORRECTANSWER butterfly rash on face
Lupus: Indication of flare -CORRECTANSWER Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -CORRECTANSWER -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 -CORRECTANSWER -hydroxychloroquine(anti-malarial)
decreases absorption of UV light
Scleroderma -CORRECTANSWER inflammatory, autoimmune connective tissue
disease
,Scleroderma: Hallmark Sign -CORRECTANSWER Hard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess -CORRECTANSWER Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions -CORRECTANSWER 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 -CORRECTANSWER extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess -CORRECTANSWER pain level
,extreme fatigue
GI symptoms
Fibromyalgia: Interventions -CORRECTANSWER 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 -CORRECTANSWER stage 1: "bulls eye rash" and flu-
like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess -CORRECTANSWER Skin
history of tick bites
Lyme Disease: Interventions -CORRECTANSWER 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 -CORRECTANSWER STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks -CORRECTANSWER -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock -CORRECTANSWER 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 -CORRECTANSWER 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.
Detailed Answers | 2026 Updated | 100%
Correct – Galen College
Lupus: Hallmark sign -CORRECTANSWER butterfly rash on face
Lupus: Indication of flare -CORRECTANSWER Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -CORRECTANSWER -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 -CORRECTANSWER -hydroxychloroquine(anti-malarial)
decreases absorption of UV light
Scleroderma -CORRECTANSWER inflammatory, autoimmune connective tissue
disease
,Scleroderma: Hallmark Sign -CORRECTANSWER Hard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess -CORRECTANSWER Swallow safety--esophageal dysmotility
(ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions -CORRECTANSWER 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 -CORRECTANSWER extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess -CORRECTANSWER pain level
,extreme fatigue
GI symptoms
Fibromyalgia: Interventions -CORRECTANSWER 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 -CORRECTANSWER stage 1: "bulls eye rash" and flu-
like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess -CORRECTANSWER Skin
history of tick bites
Lyme Disease: Interventions -CORRECTANSWER 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 -CORRECTANSWER STOP THE INFUSION/ELIMINATE the
trigger, then STOP the immune response
Give Epi
maintain airway
Latex allergy: risks -CORRECTANSWER -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock -CORRECTANSWER 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 -CORRECTANSWER 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.
