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Exam 4 NURS 3730 Questions and Correct
Answers/ Latest Update / Already Graded
Topical cortisone
Ans: helps treat SLE by decreasing inflammation
Pt. education: it thins the skin (decreases collagen in skin)
Hydroxichloroquine/ plaquenil
Ans: 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
Ans: help treat SLE and RA by decreasing inflammation and
pain
pt. teaching:
tylenol (hepatotoxic- monitor intake)
NSAIDS cause GI upset take with food
All rights reserved © 2025/ 2026 |
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5ASAs- tinnitus
Chronic steroid therapy
Ans: 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
Ans: 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
All rights reserved © 2025/ 2026 |
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Multiple Sclerosis (MS)
Ans: autoimmune disease that affects the myelin sheath and
conduction pathway of the central nervous system (CNS).
MS
Ans: patient baseline can decrease after each exacerbation
MS signs and symptoms
Ans: 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
All rights reserved © 2025/ 2026 |
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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
Ans: A. Ataxia
B. Diplopia, scotoma, nystagmus
D. Muscle spacicity
E. dysarthria
MS Medications
Ans: no cure- minimize effects on patient's quality of life
BRM- Interferons!: SQ (rotate sites), avoid crowds due to
altered immune response
All rights reserved © 2025/ 2026 |
Exam 4 NURS 3730 Questions and Correct
Answers/ Latest Update / Already Graded
Topical cortisone
Ans: helps treat SLE by decreasing inflammation
Pt. education: it thins the skin (decreases collagen in skin)
Hydroxichloroquine/ plaquenil
Ans: 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
Ans: help treat SLE and RA by decreasing inflammation and
pain
pt. teaching:
tylenol (hepatotoxic- monitor intake)
NSAIDS cause GI upset take with food
All rights reserved © 2025/ 2026 |
, Page |2
5ASAs- tinnitus
Chronic steroid therapy
Ans: 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
Ans: 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
All rights reserved © 2025/ 2026 |
, Page |3
Multiple Sclerosis (MS)
Ans: autoimmune disease that affects the myelin sheath and
conduction pathway of the central nervous system (CNS).
MS
Ans: patient baseline can decrease after each exacerbation
MS signs and symptoms
Ans: 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
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: A. Ataxia
B. Diplopia, scotoma, nystagmus
D. Muscle spacicity
E. dysarthria
MS Medications
Ans: no cure- minimize effects on patient's quality of life
BRM- Interferons!: SQ (rotate sites), avoid crowds due to
altered immune response
All rights reserved © 2025/ 2026 |
