When caring for a patient with toxic epidermal necrolysis you know that it is important to assess frequently for high fever, tachycardia, and extreme weakness and fatigue as these are indicative of what? (Mark all that apply.)

A) A comorbid infection
B) Epidermal necrosis
C) Impending death
D) Increased metabolic needs
E) Possible gastrointestinal mucosal sloughing


Ans: B, D, E
Feedback: Assessment for high fever, tachycardia, and extreme weakness and fatigue is essential because these factors indicate the process of epidermal necrosis, increased metabolic needs, and possible gastrointestinal and respiratory mucosal sloughing. These factors do not indicate a comorbid infection or impending death.

Nursing

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