EXAM 4 NURS 3730 ACTUAL QUESTIONS AND VERIFIED
COMPLETE ANSWERS GUARANTEED PASS
Topical cortisone
helps treat SLE by decreasing inflammation
Pt. education: it thins the skin (decreases collagen in skin)
Hydroxichloroquine/ plaquenil
helps treat SLE by decreasing UV absorption by skin
Pt. education: eye exams needed q6 months due to macula damage> can cause bulls
eye maculopathy
Tylenol, NSAIDs, and 5ASAs
help treat SLE and RA by decreasing inflammation and pain
pt. teaching:
tylenol (hepatotoxic- monitor intake)
NSAIDS cause GI upset take with food
5ASAs- tinnitus
Chronic steroid therapy
,help treat SLE and RA by decreasing inflammation
pt. teaching:
masks infections
lowers immune response (avoid crowds)
can raise blood sugar
DMARDs- Rheumatrex, arava and MABs- Humira, Remicade
these are biologic response modifiers- alter immune response to decrease progression
Help treat SLE and RA
Pt. Education-
teratogenic
increased risk for infection (no crowds),
no alcohol
Multiple Sclerosis (MS)
autoimmune disease that affects the myelin sheath and conduction pathway of the
central nervous system (CNS).
MS
patient baseline can decrease after each exacerbation
MS signs and symptoms
Ataxia- decrease coordination of voluntary muscles
Muscle spacicity which can alter ability to walk, muscle weakness and fatigue,
, Dysarthria- slurred speech, pauses in speech, trouble speaking
Intention tremmors (not tremoring while still, when purposefully moving to do some thing
tremors begin)
Most common: vision changes- diplopia (double vision), blurry vision, black dots
(scotomas) in vision, nystagmus- involuntary eye twitching (tell pt look all the way to left
or right and eye will twitch) represents a neurodysfunction
Most severe s&s to watch for: dysphagia > aspiration
MRI- shows plaques
Psychosocial distress
Select all that apply: S&S of MS A. Ataxia
B. Diplopia, scotoma, nystagmus
C. Discoid lesions
D. Muscle spacicity
E. dysarthria
A. Ataxia
B. Diplopia, scotoma, nystagmus
D. Muscle spacicity
E. dysarthria
MS Medications
COMPLETE ANSWERS GUARANTEED PASS
Topical cortisone
helps treat SLE by decreasing inflammation
Pt. education: it thins the skin (decreases collagen in skin)
Hydroxichloroquine/ plaquenil
helps treat SLE by decreasing UV absorption by skin
Pt. education: eye exams needed q6 months due to macula damage> can cause bulls
eye maculopathy
Tylenol, NSAIDs, and 5ASAs
help treat SLE and RA by decreasing inflammation and pain
pt. teaching:
tylenol (hepatotoxic- monitor intake)
NSAIDS cause GI upset take with food
5ASAs- tinnitus
Chronic steroid therapy
,help treat SLE and RA by decreasing inflammation
pt. teaching:
masks infections
lowers immune response (avoid crowds)
can raise blood sugar
DMARDs- Rheumatrex, arava and MABs- Humira, Remicade
these are biologic response modifiers- alter immune response to decrease progression
Help treat SLE and RA
Pt. Education-
teratogenic
increased risk for infection (no crowds),
no alcohol
Multiple Sclerosis (MS)
autoimmune disease that affects the myelin sheath and conduction pathway of the
central nervous system (CNS).
MS
patient baseline can decrease after each exacerbation
MS signs and symptoms
Ataxia- decrease coordination of voluntary muscles
Muscle spacicity which can alter ability to walk, muscle weakness and fatigue,
, Dysarthria- slurred speech, pauses in speech, trouble speaking
Intention tremmors (not tremoring while still, when purposefully moving to do some thing
tremors begin)
Most common: vision changes- diplopia (double vision), blurry vision, black dots
(scotomas) in vision, nystagmus- involuntary eye twitching (tell pt look all the way to left
or right and eye will twitch) represents a neurodysfunction
Most severe s&s to watch for: dysphagia > aspiration
MRI- shows plaques
Psychosocial distress
Select all that apply: S&S of MS A. Ataxia
B. Diplopia, scotoma, nystagmus
C. Discoid lesions
D. Muscle spacicity
E. dysarthria
A. Ataxia
B. Diplopia, scotoma, nystagmus
D. Muscle spacicity
E. dysarthria
MS Medications
