The nurse is caring for a child with erythema multiforme (Stevens-Johnson syndrome). What local manifestations does the nurse expect to assess in this child? (Select all that apply.)
a. Papular urticaria
b. Erythematous papular rash
c. Lesions absent in the scalp
d. Lesions enlarge by peripheral expansion
e. Firm papules that may be capped by vesicles
ANS: B, C, D
Local manifestations of erythema multiforme include an erythematous popular rash, lesions involving most skin surfaces except the scalp and lesions that enlarge by peripheral expansion. Papular urticaria and firm papules capped by vesicles are characteristics of an insect bite.
You might also like to view...
A patient has an acute infection. What blood cell does the nurse expect to be increased?
A) Erythrocytes B) Neutrophils C) Platelets D) Basophils
The nurse is caring for a postoperative client who suddenly reports difficulty breathing and sharp chest pain. After notifying the Rapid Response Team, what is the nurse's priority action?
a. Elevate the head of the bed and apply oxygen. b. Listen to the client's lung sounds. c. Pull the call bell out of the wall socket. d. Assess the client's pulse oximetry.
The nurse is teaching a new mother developmental expectations. Which of these activities should the nurse expect a newborn to do within the first month of life?
1. Bring hands to eyes and mouth 2. Push up with hands,moving chest up 3. Keep hands in a relaxed position 4. Roll over from back to abdomen
"Ineffective community coping related to deficits in community social support services." What part of the nursing diagnosis would follow the added statement of "as manifested by"?
A) A description of the problem, response, or state B) Identification of factors etiologically related to the problem C) Signs and symptoms characteristic of the problem D) Nothing is missing; it is a complete community nursing diagnosis.