NUR 265 EXAM 4 NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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NUR 265 EXAM 4 NEWEST 2024 ACTUAL EXAM
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
what meds are used for management of lupus? - ANSWERtopical corticosteroids
Tylenol/ NSAIDs
hydo|ychloroquine
steroids
immunosuppressive agents (methotrexate)
what is the teaching for hydroxychloroquine - ANSWER- Teach
patients to have frequent eye examinations with visual field
testing before starting the drug and every 6 months after starting
drug
What is Lyme disease? - ANSWER- systemic infection caused
by spirochete borrelia burgdorferi d/t tick bite
What is Stage 1 with lyme? - ANSWER- flu like symptoms
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erythema migrans (bulls eye)
pain/stiffness in muscles/joints
symptoms begin 3-30 days
tx abs doxy or amoxx (14-21 days)
What is Stage 2 with lyme? - ANSWER- 2-12wks after tick bite
can develop carditis w/ dysrhythmias
dyspnea, dizziness or palpitations, meningitis, facial paralysis,
peripheral neuritis
tx iv abx for 30 days (ceftriaxone & cefotaxime)
What is stage3 with lyme? - ANSWER- months-years after bite
arthritis is 1st and only symptom
What is teaching with lyme? - ANSWER- avoid heavily wooded
areas
wear light colors
DEET repellent
long sleeves & pants
bathe & inspect immed.
remove w/ tweezers & flush (DO NOT BURN)
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How do you remove ticks? - ANSWER- with tweezers making
sure you remove the tick intact within 36 hours
What is the purpose of inflammation and immunity? -
ANSWER- to provide protection by neutralizing, eliminating or
destroying organisms that invade the body.
What are the different types of reactions? - ANSWER- type 1=
immediate( hay fever, allergic asthma or anaphylaxis)
type 2= cytotoxic (hemolytic anemia, myasthenia gravis)
type 3= immune (serum sickness, lupus, RA
type 4= delayed ( poison ivy, graft rejection, positive tb test)
How are allergens contracted? - ANSWER- inhalation,
ingestion, injection, contraction (latex, pollen)
What is an allergic reaction? - ANSWER- excessive
inflammation in response to the presence of an antigen to which
the pt has been previously exposed
What is an allergic reaction type 1? - ANSWER- anaphylaxis
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What are s/s of allergies? - ANSWER- rhinorrhea, sneezing,
itchy, red, watery eyes
How are allergies dx'ed? - ANSWER- allergy skin testing for
type 1, history and s/s during allergen exposure
What are interventions with allergy? - ANSWER- avoidance
therapy
decongestant
antihistamine
corticosteroids
desensilization therapy (allergy shots)
What are s/s of anaphylaxis? - ANSWER- swollen lips, tongue,
soft palate, uvula, widespread hives, pruritus & flushing,
hypotension, resp distress, dyspnea, bronchospasms, wheezes,
stridor, cyanosis, low perfusion, hypotension, loss of
consciousness, incontinence, absent deep tendon reflex
What to teach with allergies/anaphylaxis? - ANSWER- avoid
allergens
what are interventions with allergies/anaphylaxis? - ANSWERassess resp (secure airway & apply oxygen) https://learnexams.com/search/study?query=
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