When assessing the health of a patient diagnosed with toxic epidermal necrolysis (TEN), the nurse would be alert to which of the following precipitating factors?
A) History of blistering sunburns
B) Substandard hygienic conditions
C) Medication reaction
D) History of chickenpox
Ans: C
Feedback: Toxic epidermal necrolysis (TEN) is triggered by a reaction to medications. Antibiotics, antiseizure agents, butazones, and sulfonamides are the most frequent medications implicated. A history of blistering sunburns is a precipitating factor of skin cancer. Living in substandard hygienic conditions is a factor that relates to scabies. Herpes zoster is caused by reactivation of the latent varicella virus infection.
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1. Is able to focus. 2. May be easily distracted. 3. Will be able to communicate in writing. 4. Retains information.
The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?
A) Palpate both testicles simultaneously for comparison. B) Palpate each testicle separately, following a warm shower. C) Palpate the front of the testicle first, where most tumors are found. D) Palpate for a soft, round shape with normal ridges on the testicles.
When assessing how well a client has managed to meet Maslow's fourth-level needs related to self-esteem, the nurse would consider the individual's:
1. Competence 2. Intimate relationships 3. Freedom from fear 4. Vocation
The nurse is performing a physical examination on a 40-year-old patient. The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?
a. Decreased heart rate b. Decreased sense of smell c. Decreased strength of abdominal muscles d. Decreased function of the cranial nerves