A 63-year-old patient is admitted with new onset fever; flulike symptoms; blisters over her arms, chest, and neck; and red, painful, oral mucous membranes. The patient should be further evaluated for which possible non–burn injured skin disorder?
a. Toxic epidermal necrolysis
b. Staphylococcal scalded skin syndrome
c. Necrotizing soft tissue infection
d. Graft versus host disease
A
Patients with toxic epidermal necrolysis, Stevens-Johnson Syndrome (SJS), and erythema multiforme present with acute onset fever and flulike symptoms, with erythema and blisters developing within 24 to 96 hours, skin and mucous membranes slough, resulting in a significant and painful partial-thickness injury. Staphylococcal scalded skin syndrome presents predominantly in children. Necrotizing soft tissue infection results from rapidly invasive bacterial infections. Graft versus host disease is not logical given the clinical information provided.
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A patient takes temazepam [Restoril] for insomnia. The patient tells the nurse that a recent telephone bill lists several calls to friends that the patient does not remember making. What will the nurse do?
a. Ask the patient about any alcohol con-sumption in conjunction with the benzo-diazepine. b. Contact the prescriber to request an order for a benzodiazepine with a shorter dura-tion. c. Reassure the patient that this is most likely caused by a paradoxical reaction to the benzodiazepine. d. Tell the patient that this is an example of anterograde amnesia, which is an expected effect of the benzodiazepine.
There are a variety of models of faith-based nursing practice. Using your knowledge of these various models, what model does the nurse serve to coordinate care particularly at times of transition?
A) Faith community B) Parish C) Congregation based D) Institution based
A patient's BUN test results are significantly elevated. When reviewing the patient's history, which of the following findings is consistent with BUN elevation other than renal compromise?
A) The patient is on a low protein diet. B) The patient is dehydrated. C) The patient has a history of osteoarthritis. D) The patient is lactose intolerant.
When assessing the neck of a healthy adult, a nurse expects which findings?
a. A convex contour of the posterior cervical spine b. Bending of the head to the right and left (ear to shoulder) 15 degrees c. Turning the chin to the right shoulder and then the left shoulder d. Hyperextension of the head 30 degrees from midline