A client comes to the clinic for a follow-up visit. The client is prescribed lamotrigine for seizure control. The nurse suspects that the client may be experiencing Stevens-Johnson syndrome based on which of the following?
A) Complaints of muscle pain
B) Lesions on the mucous membranes
C) Blisters on the face and neck
D) Recurrence of seizure activity
E) Dizziness
Ans: A, B, C
Feedback:
Stevens-Johnson syndrome (SJS) is manifested by fever, cough, muscular aches and pains, headache, and lesions of the skin, mucous membranes, and eyes; the lesions appear as red wheals or blisters, often starting on the face, in the mouth, or on the lips, neck, and extremities. Recurrence of seizure activity and dizziness are not associated with this condition.
You might also like to view...
A Hispanic parent says, "An old woman gave my baby the evil eye." The health care provider determines that the infant is physically healthy. The most culturally competent intervention would be to
a. tell the parent that the baby is healthy and needs no treatment. b. explain that the evil eye is a superstition and not a cause of illness. c. encourage the parent to immerse the baby in cool water baths daily. d. bring a root doctor into the consultation to restore the baby's lost soul.
In the United States, horsemeat, insects, and dog meat are not considered food items, even though they meet the criteria for what is considered "food." What dictates what is acceptable as a food item and what is not?
A) Availability B) Culture C) Flavor D) Preference
The nurse has incorporated the principles of documentation into written communication. Which should the nurse recognize reflects the accuracy of the documentation?
A. Limited sharing of the information. B. Documentation that is limited to factualness. C. Documentation that is completed promptly and is easily readable. D. Uniform language used throughout the documentation.
A client is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression and is consistently depressed. When assessing the client, which of the following would alert the nurse that the client's suicidal risk has
A) He tells the nurse that he feels more depressed than ever. B) He is lethargic, remaining isolated from other clients. C) He says he feels better as he interacts more with other clients. D) His energy level and degree of depression remain the same.