NUR 265 EXAM 4 QUESTIONS
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: How is the disease process and long-term progression of Lupus
classified?
✔✔ Answer: It is a chronic, systemic autoimmune disease that triggers ongoing,
progressive inflammation throughout the body's tissues.
Question: What is the primary clinical indicator that a patient is beginning to
experience a Lupus flare-up?
✔✔ Answer: A sudden, unexplained spike in body temperature (fever).
Question: What are the hallmark clinical signs and symptoms that point to a Lupus
diagnosis?
✔✔ Answer:
Persistent joint discomfort and aching (arthralgia)
A distinct red, butterfly-shaped rash (malar rash) stretching across the nose
and cheeks
Discolored, disk-shaped skin lesions (discoid lesions)
Question: What major systemic complications or secondary disorders can arise
from Lupus?
✔✔ Answer:
Lupus nephritis: Inflammatory damage to the functional units of the
kidneys.
Pericarditis: Inflammation affecting the sac-like membrane surrounding the
heart.
Raynaud’s phenomenon: Sudden blood vessel spasms in the fingertips and
toes triggered by cold.
Vasculitis: Destructive inflammation of the vascular system.
Alopecia: Moderate to severe hair thinning or patchy hair loss.
, Question: Which specific cardiac assessment findings reveal that a patient’s Lupus
has complicated into pericarditis?
✔✔ Answer: A rapid heart rate (tachycardia), localized chest pain, and
compromised blood supply to the heart muscle (myocardial ischemia).
Question: What vital self-care and prevention strategies should be included in
patient education for Lupus?
✔✔ Answer:
Avoid direct sunlight and wear protective clothing to prevent UV exposure.
Consistently log baseline body temperature to identify early signs of
inflammation.
Be aware that hormonal shifts from pregnancy can induce a severe disease
flare.
Wash skin delicately using gentle, fragrance-free soap and dry carefully by
patting rather than rubbing.
Keep skin hydrated by steering clear of drying agent exposures like talcum
powder or rubbing alcohol.
Delay receiving any live vaccines for at least 30 days prior to initiating
immunosuppressive treatments.
What lab is done to dx lupus? -ANSWER ✔✔skin biopsy
What are interventions with lupus? -ANSWER ✔✔topical cortisone
NSAIDs
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
What is scleroderma? -ANSWER ✔✔autoimmune, chronic, inflammation of tissue
that becomes fibrotic & then sclerotic (hard)
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: How is the disease process and long-term progression of Lupus
classified?
✔✔ Answer: It is a chronic, systemic autoimmune disease that triggers ongoing,
progressive inflammation throughout the body's tissues.
Question: What is the primary clinical indicator that a patient is beginning to
experience a Lupus flare-up?
✔✔ Answer: A sudden, unexplained spike in body temperature (fever).
Question: What are the hallmark clinical signs and symptoms that point to a Lupus
diagnosis?
✔✔ Answer:
Persistent joint discomfort and aching (arthralgia)
A distinct red, butterfly-shaped rash (malar rash) stretching across the nose
and cheeks
Discolored, disk-shaped skin lesions (discoid lesions)
Question: What major systemic complications or secondary disorders can arise
from Lupus?
✔✔ Answer:
Lupus nephritis: Inflammatory damage to the functional units of the
kidneys.
Pericarditis: Inflammation affecting the sac-like membrane surrounding the
heart.
Raynaud’s phenomenon: Sudden blood vessel spasms in the fingertips and
toes triggered by cold.
Vasculitis: Destructive inflammation of the vascular system.
Alopecia: Moderate to severe hair thinning or patchy hair loss.
, Question: Which specific cardiac assessment findings reveal that a patient’s Lupus
has complicated into pericarditis?
✔✔ Answer: A rapid heart rate (tachycardia), localized chest pain, and
compromised blood supply to the heart muscle (myocardial ischemia).
Question: What vital self-care and prevention strategies should be included in
patient education for Lupus?
✔✔ Answer:
Avoid direct sunlight and wear protective clothing to prevent UV exposure.
Consistently log baseline body temperature to identify early signs of
inflammation.
Be aware that hormonal shifts from pregnancy can induce a severe disease
flare.
Wash skin delicately using gentle, fragrance-free soap and dry carefully by
patting rather than rubbing.
Keep skin hydrated by steering clear of drying agent exposures like talcum
powder or rubbing alcohol.
Delay receiving any live vaccines for at least 30 days prior to initiating
immunosuppressive treatments.
What lab is done to dx lupus? -ANSWER ✔✔skin biopsy
What are interventions with lupus? -ANSWER ✔✔topical cortisone
NSAIDs
chronic steroid therapy (take in AM)
immunosuppressants (avoid large crowds)
What is scleroderma? -ANSWER ✔✔autoimmune, chronic, inflammation of tissue
that becomes fibrotic & then sclerotic (hard)
