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