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NURS 265 NEWEST UPDATE 2024- 2025 FINAL EXAM
REVIEW/ ACTUAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
What represents biological predisposition (genetics) - Correct Answer - Diathesis
What represents environmental stress or trauma (triggers the disorder)? - Correct Answer – Stress
What is Lupus? - Correct Answer - autoimmune, chronic, progressive, inflammatory disorder
What is the 1st sign of a flare up with Lupus? - Correct Answer - fever
What are s/s of lupus? - Correct Answer - joint pain butterfly rash discoid lesions
What are signs that lupus has caused pericarditis? - Correct Answer - techy chest pain myocardial ischemia
What is teaching with lupus? - Correct Answer - limit sun exposure monitor body temp prig can trigger pat skin dry/clean w/ mild soap 1 / 3
pg. 2 avoid alcohol or powder no live vaccine for 30 days before Tx
What lab is done to dx lupus? - Correct Answer - skin biopsy
What are interventions with lupus? - Correct Answer - topical cortisone NSAIDs chronic steroid therapy (take in AM) immunosuppressants (avoid large crowds)
What is scleroderma? - Correct Answer - autoimmune, chronic, inflammation of tissue that becomes fibrotic & then sclerotic (hard)
What are s/s of scleroderma? - Correct Answer - dysphagia arthralgia & stiffness painless, symmetric pitting edema skin taut, shiny decrease skin elasticity decrease ROM join contractures & ulcers malabsorption (diarrheal stools)
What can scleroderma lead to? - Correct Answer - calcinosis Raynaud’s esophageal dysmotility sclerodactyly telangiectasia cardiac dysrhythmias stiff lung 2 / 3
pg. 3 renal (decrease u/o & hypertension)
What lab is done to dx scleroderma? - Correct Answer - skin biopsy
What teaching for scleroderma? - Correct Answer - HOB at least 60 during meal & 1hr after mild soap & lotion small freq meals avoid caffeine, pepper, spice, & alcohol avoid cold room temp no smoking wear socks & gloves
What are interventions with scleroderma? - Correct Answer - force into remission/decrease progression systemic steroids & immunosuppressants Bosentan
What to monitor while on Bosentan? - Correct Answer - watch for liver injury & birth defects
What is fibromyalgia? - Correct Answer - Chronic pain and stiffness, no inflammation
What worsens fibromyalgia? - Correct Answer - stress, sleep deprivation, increased activity and weather
What are cardio s/s of fibromyalgia? - Correct Answer - dyspnea chest pain dysrhythmias
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