NUR 265 EXAM 4 NEWEST 2024 COMPLETE 220
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!.
Lupus: Hallmark sign - ANSWERbutterfly rash on face
Lupus: Indication of flare - ANSWERFever and fatigue
*also assess BUN function
*c reactive protein remains normal
Lupus: Interventions - ANSWER-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 - ANSWER-hydroxychloroquine(anti-malarial) decreases
absorption of UV light
Scleroderma: Interventions - ANSWERaspiration 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
, Lyme Disease: Assess - ANSWERSkin
history of tick bites
Lyme Disease: Interventions - ANSWERprevention!
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 - ANSWERSTOP THE INFUSION/ELIMINATE the trigger, then
STOP the immune response
Give Epi
maintain airway
Latex allergy: risks - ANSWER-frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
Anaphylactic shock - ANSWERAIRWAY--give epi IV or IM STAT and intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
Epinephrine Auto-injector teaching - ANSWERalways carry 2 devices
inject by "stabbing" into top of thigh with pants on (AVOID pockets)
call 911 immediately--patient still needs to be monitored
keep epi in cool dark place.
Immunocompromised Patient - ANSWER-Do not drink anything that has been sitting out
-take temp at least once per day
-clean toothbrush once weekly in diswasher or bleach solution
-do not eat raw foods; salad, cottage cheese
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