Final Exam: NSG123/ NSG 123 (Latest 2024/ 2025 Update) Med Surg 1| Review with Questions and Verified Answers| 100% Correct| Grade A- Herzing

Final Exam: NSG123/ NSG 123 (Latest 2024/

2025 Update) Med Surg 1| Review with

Questions and Verified Answers| 100%

Correct| Grade A- Herzing

Q: 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

Q: 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

Q: 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)

Q: 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

Q: 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

Q: Why is SLE patient at increased risk for osteoporosis?

Answer:

long-term corticosteroids increases incidence

encourage Ca/Vit D, weight-bearing exercise

Q: What is SLE goals of pharmacological treatment based on?

Answer:

1 -pain management (NSAIDs, propionic acid derivatives like ibuprofen)

2 - nonspecific immunosuppression (belimumab, corticosteroids, hydroxychloroquine, purines)

Q: Lifestyle changes for SLE?

Answer:

-avoid risk for bleeding - SOFT toothbrush (SLE=low platelets)

-rest

-avoid crowds

Q: 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

Q: 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

Q: Hydroxychloroquine, prescribed for SLE can be damaging to what organ?

Symptoms would need immediate attention

Answer:

eyes - retinal cells near macula -- decreased central vision

ex can't see letter in middle of word

IRREVERSIBLE!

Q: Where is malar rash located? What disease process is it seen in?

Answer: