NSG 123 - Medical-Surgical Nursing I
Final Exam
Question:
What is systemic lupus erythematous?
Answer:
inflammatory autoimmune - affects nearly every organ -- can be life- threatening
immune systems develops antibodies to body's own cells
Question:
Are white people more/less likely to have SLE? Man or woman more likey?
Answer:
Women (4-12x)
White less likely - more Afr Amer, Hispanic, Asian, Native American
- / 4
Question:
What are clinical manifestations of SLE?
Answer:
chronic state with acute flares
fever, fatigue, rash, join pain/swelling - oral ulcers, alopecia, Raynauds, nephritis
muscskel system, renal, nervous, CV most common (GI/liver/ocular less involved)
Question:
What is assessment/diagnosis for SLE?
Answer:
exam for edema at joints, rash, skin changes, alopecia - complete history ***malar rash on cheeks
ANA (antinuclear antibody) in 95% also anemia, leukocytosis
- / 4
Question:
T/F SLE patient should ensure regular exposure to sun to get sufficient VIt D
Answer:
False - sun/UV can cause exacerbation -- SLE is photosensitive
avoid exposure or wear clothes/sunscreen
Question:
Why is SLE patient at increased risk for osteoporosis?
Answer:
long-term corticosteroids increases incidence
encourage Ca/Vit D, weight-bearing exercise
Question:
What is SLE goals of pharmacological treatment based on?
Answer:
- -pain management (NSAIDs, propionic acid derivatives like ibuprofen)
- - nonspecific immunosuppression (belimumab, corticosteroids,
hydroxychloroquine, purines)
- / 4
Question:
Lifestyle changes for SLE?
Answer:
-avoid risk for bleeding - SOFT toothbrush (SLE=low platelets) -rest -avoid crowds
Question:
What is diff between RA and osteoarthritis?
Answer:
OA - degenerative, morning stiffness only 30 mins, asymmetrics, cartilage loss, heberden's nodes
RA - autoimmune, inflamed synovium, symmetrical, morning stiffness 30+ mins, extra-articular movement
Question:
What can help distinguish RA from SLE?
Answer:
Both - pain, fever, fatigue, inflamm RA - red/warm joints, nodules, hand/foot deformity or dislocations SLE - hair loss, butterfly rash on cheeks, weight change, photosensitive
- / 4