NUR 265 EXAM 4 FINAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE 2026/2027
Lupus: Hallmark sign butterfly rash on face
Lupus: Indication of flare Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -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 -hydroxychloroquine(anti-malarial) decreases absorption of
UV light
Scleroderma inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign Hard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess Swallow safety--esophageal dysmotility (ASPIRATION)
, O2
circulatio
n skin
Scleroderma: Interventions 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 extreme fatigure
GI
symptom
s dysuria
blurred
vision
forgetful
ness
fibromyalgia: Assess pain level
extreme
fatigue GI
symptoms
Fibromyalgia: Interventions 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 stage 1: "bulls eye rash" and flu-
like symptoms Stage 2: facial
paralysis, carditis, meningitis
Lyme Disease: Assess Skin
history of tick bites
WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE 2026/2027
Lupus: Hallmark sign butterfly rash on face
Lupus: Indication of flare Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions -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 -hydroxychloroquine(anti-malarial) decreases absorption of
UV light
Scleroderma inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign Hard, leather-like edematous skin
Late: esophageal dismotility
Scleroderma: Assess Swallow safety--esophageal dysmotility (ASPIRATION)
, O2
circulatio
n skin
Scleroderma: Interventions 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 extreme fatigure
GI
symptom
s dysuria
blurred
vision
forgetful
ness
fibromyalgia: Assess pain level
extreme
fatigue GI
symptoms
Fibromyalgia: Interventions 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 stage 1: "bulls eye rash" and flu-
like symptoms Stage 2: facial
paralysis, carditis, meningitis
Lyme Disease: Assess Skin
history of tick bites
