The nurse is caring for an African American patient who has been admitted to the unit for long-term antibiotic therapy. The patient is taking a sulfonamide and begins to show a fever, pallor, and jaundice
The nurse would be correct to suspect that the patient has developed
a. Stevens-Johnson syndrome.
b. kernicterus.
c. hepatotoxicity.
d. hemolytic anemia.
ANS: D
Sulfonamides can cause hemolytic anemia in patients of African American and Mediterranean origin, usually because of a genetic deficiency. Red cell lysis can produce fever, pallor, and jaundice. Patients should be observed for these signs.
These signs and symptoms are not characteristic of Stevens-Johnson syndrome.
These signs and symptoms are not characteristic of kernicterus, which occurs in newborns.
These signs and symptoms are not characteristic of hepatotoxicity.
You might also like to view...
An 11-year-old was abducted and raped by an unknown assailant. In the emergency department, the
victim is confused and crying. The personal reaction experienced by the nurse that could interfere with the victim's care would be a. empathy. b. concern. c. anger. d. understanding.
The nurse is teaching an 85-year-old patient diagnosed with heart failure about his medication. What would be especially important for the nurse to teach this patient about oral diuretics?
A) Timing of fluid intake after taking medication B) Timing of medication administration C) Take them mid-afternoon D) Take them at night
A patient diagnosed with colon cancer is being prepared for palliative surgery to correct an intestinal obstruction. The nurse understands that palliative surgery is:
1. the removal and study of tissue to make a diagnosis. 2. done to relieve symptoms or improve function without correcting the basic prob-lem. 3. done to remove diseased tissue or to correct defects. 4. done to correct serious defects that only affect appearance.
Which assessment finding should you expect in the client with COPD?
A. Decreased vocal fremitus B. Grossly bloody sputum C. Loss of the gag reflex D. Tracheal deviation