Questions and Answers
2026 | Nursing Practice
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, 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
circulation
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 symptoms
dysuria
blurred vision
forgetfulness
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