NUR 265 EXAM 4 QUESTIONS AND
ANSWERS 100% PASS 2026/2027
Lupus: Hallmark sign - ANS butterfly rash on face
Lupus: Indication of flare - ANS Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - ANS -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 - ANS -hydroxychloroquine(anti-malarial) decreases absorption
of UV light
Scleroderma - ANS inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - ANS Hard, leather-like edematous skin
@2026 ALLRIGHTS RESERVED 1
,Late: esophageal dismotility
Scleroderma: Assess - ANS Swallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - ANS 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 - ANS extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - ANS pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - ANS NSAIDS
Nuerontin (gabapentin)
@2026 ALLRIGHTS RESERVED 2
, Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise)
Lyme Disease: Hallmark sign - ANS stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - ANS Skin
history of tick bites
Lyme Disease: Interventions - ANS 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 - ANS STOP THE INFUSION/ELIMINATE the trigger, then STOP the
immune response
Give Epi
maintain airway
Latex allergy: risks - ANS -frequent use of latex condoms
@2026 ALLRIGHTS RESERVED 3
ANSWERS 100% PASS 2026/2027
Lupus: Hallmark sign - ANS butterfly rash on face
Lupus: Indication of flare - ANS Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - ANS -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 - ANS -hydroxychloroquine(anti-malarial) decreases absorption
of UV light
Scleroderma - ANS inflammatory, autoimmune connective tissue disease
Scleroderma: Hallmark Sign - ANS Hard, leather-like edematous skin
@2026 ALLRIGHTS RESERVED 1
,Late: esophageal dismotility
Scleroderma: Assess - ANS Swallow safety--esophageal dysmotility (ASPIRATION)
O2
circulation
skin
Scleroderma: Interventions - ANS 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 - ANS extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
fibromyalgia: Assess - ANS pain level
extreme fatigue
GI symptoms
Fibromyalgia: Interventions - ANS NSAIDS
Nuerontin (gabapentin)
@2026 ALLRIGHTS RESERVED 2
, Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise)
Lyme Disease: Hallmark sign - ANS stage 1: "bulls eye rash" and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
Lyme Disease: Assess - ANS Skin
history of tick bites
Lyme Disease: Interventions - ANS 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 - ANS STOP THE INFUSION/ELIMINATE the trigger, then STOP the
immune response
Give Epi
maintain airway
Latex allergy: risks - ANS -frequent use of latex condoms
@2026 ALLRIGHTS RESERVED 3
