NUR 265 EXAM 4 2026 EXPERT
VERIFIED | ACE THE TEST
Lupus: Hallmark sign - 🧠 ANSWER ✔✔butterfly rash on face
Lupus: Indication of flare - 🧠 ANSWER ✔✔Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - 🧠 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 - 🧠 ANSWER ✔✔-hydroxychloroquine(anti-
malarial) decreases absorption of UV light
Scleroderma - 🧠 ANSWER ✔✔inflammatory, autoimmune connective tissue
disease
Scleroderma: Hallmark Sign - 🧠 ANSWER ✔✔Hard, leather-like edematous
skin
Late: esophageal dismotility
Scleroderma: Assess - 🧠 ANSWER ✔✔Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
,skin
Scleroderma: Interventions - 🧠 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 - 🧠 ANSWER ✔✔extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - 🧠 ANSWER ✔✔pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - 🧠 ANSWER ✔✔NSAIDS
Nuerontin (gabapentin)
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming,
rowing, water exercise)
Lyme Disease: Hallmark sign - 🧠 ANSWER ✔✔stage 1: "bulls eye rash"
and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - 🧠 ANSWER ✔✔Skin
history of tick bites
Lyme Disease: Interventions - 🧠 ANSWER ✔✔prevention!
Insect repellant with DEET
early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
VERIFIED | ACE THE TEST
Lupus: Hallmark sign - 🧠 ANSWER ✔✔butterfly rash on face
Lupus: Indication of flare - 🧠 ANSWER ✔✔Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - 🧠 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 - 🧠 ANSWER ✔✔-hydroxychloroquine(anti-
malarial) decreases absorption of UV light
Scleroderma - 🧠 ANSWER ✔✔inflammatory, autoimmune connective tissue
disease
Scleroderma: Hallmark Sign - 🧠 ANSWER ✔✔Hard, leather-like edematous
skin
Late: esophageal dismotility
Scleroderma: Assess - 🧠 ANSWER ✔✔Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
,skin
Scleroderma: Interventions - 🧠 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 - 🧠 ANSWER ✔✔extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - 🧠 ANSWER ✔✔pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - 🧠 ANSWER ✔✔NSAIDS
Nuerontin (gabapentin)
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming,
rowing, water exercise)
Lyme Disease: Hallmark sign - 🧠 ANSWER ✔✔stage 1: "bulls eye rash"
and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - 🧠 ANSWER ✔✔Skin
history of tick bites
Lyme Disease: Interventions - 🧠 ANSWER ✔✔prevention!
Insect repellant with DEET
early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
