NUR 265 Exam 4: Questions & Answers
What is teaching with lupus?(Ans- limit sun exposure monitor body temp preg can trigger pat skin dry/clean w/ mild soap avoid alcohol or powder no live vaccine for 30 days before tx
What is lupus?(Ans- an immune system generates antibodies against histones and DNA released by normal breakdown of body cells. causes skin rashes, fever, arthritis, and kidney disfunction
What labs is done to dx lupus?(Ans- skin biopsy confirms diagnosis immunologic based lab test same as RA
What are interventions with lupus?(Ans- topical cortisone NSAIDs chronic steroid therapy (take in AM) immunosuppressants (avoid large crowds)
what is the self management for lupus (Ans- Except fatigue as a continuing but manageable condition Avoid self blame for the need to alter activity Keep in mind that your health comes 1st Make rest time a priority and make sure your family knows why If you smoke stop and avoid nicotine in any form 1 / 4
Plan ahead and print orthodox your activities this are activities keeping in mind that you do not have to be a superperson Group your errands when driving starting with those further from home and heading toward home When possible shop online and have items delivered directly to you Prepare meals in advance on less busy days Is when possible prepare items while sitting Carefully select which activities and events you can attend or participate in and which ones you must regretfully decline Work on asking for what you need asking for help will become easier with time and practice accept help offered by others Make adjustments in your life that will help you live better
What are people with latex allergies usually also allergic to?(Ans- banana, avocado, or nut allergies
what are Nursing diagnosises and interventions for lupus (Ans- Persistent pain Due to chronic inflammation and hypoxia =pain management with drug therapy =Tylenol and NSAIDs, corticosteroids Fatigue due to chronic inflammation and hypoxia= Help patient recognize their health must come 1st and learn to make lifestyle choices to improve endurance and prevent excessive fatigue potential for loss of tissue integrity and organ failure with progression = Drug therapy involving is involving combination of immunos suppressing agents and selective immunos suppressive agent= corticosteroids, antimalarial drugs (hydroxychloroquine) Potential for decrease self esteem due to changes in body image =support positive coping mechanism/ mental health professional
what meds are used for management of lupus?(Ans- topical corticosteroids Tylenol/ NSAIDs hydo|ychloroquine steroids 2 / 4
immunosuppressive agents (methotrexate)
what is the teaching for hydroxychloroquine (Ans- 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?(Ans- systemic infection caused by spirochete borrelia burgdorferi d/t tick bite
What is Stage 1 with lyme?(Ans- flu like symptoms 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?(Ans- 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?(Ans- months-years after bite arthritis is 1st and only symptom
What is teaching with lyme?(Ans- avoid heavily wooded areas wear light colors DEET repellent long sleeves & pants bathe & inspect immed.remove w/ tweezers & flush (DO NOT BURN) 3 / 4
How do you remove ticks?(Ans- with tweezers making sure you remove the tick intact within 36 hours
What is the purpose of inflammation and immunity?(Ans- to provide protection by neutralizing, eliminating or destroying organisms that invade the body.
What are the different types of reactions?(Ans- 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?(Ans- inhalation, ingestion, injection, contraction (latex, pollen)
What is an allergic reaction?(Ans- 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?(Ans- anaphylaxis
What are s/s of allergies?(Ans- rhinorrhea, sneezing, itchy, red, watery eyes
How are allergies dx'ed?(Ans- allergy skin testing for type 1, history and s/s during allergen exposure
What are interventions with allergy?(Ans- avoidance therapy decongestant
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