A client has been admitted to the intensive care unit of the hospital after developing toxic epidermal necrolysis (TEN) consequent to the administration of a sulfonamide antibiotic
What pathophysiologic phenomenon is likely the greatest immediate threat to this client's health?
A) The development of bacterial cellulitis on compromised skin surfaces
B) Fluid and electrolyte imbalances resulting from the loss skin integrity
C) A cascading autoimmune response that may result in shock
D) The presence of diffuse lesions and skin sloughing on the client's mucous membranes
Ans: D
Feedback:
TEN is manifested by large areas of denuded skin resulting from separation at the basement membrane. This sloughing and necrosis can be fatal if it occurs in the airway and on the other mucous membranes. Infection and fluid and electrolyte imbalances may occur, but the most immediate threat results from the immediate consequences of skin sloughing. A cascading autoimmune response does not occur in TEN.
You might also like to view...
The protrusion of the spinal cord and meninges through an opening in the vertebral column is called:
A) multiple sclerosis. B) a meningocele. C) a myelomeningocele. D) myelitis.
The LPN is talking to a family member who was recently given propanolamine/propanolamine (Rhindecon) to aid in the treatment of a severe sinus infection. Which statement by the nurse is best?
A. "That is a really potent antihistamine, so you will probably feel really dry." B. "Be aware that rebound nasal congestion occurs if you take that for more than a few days." C. "Wow, I thought they outlawed that stuff because kids were making drugs out of it." D. "That is a powerful antibiotic; you may get diarrhea with that."
Which list describes relative contraindications or cautions to be observed with tricyclics?
a. Hyperthyroidism, history of drug dependence, or eating disorders b. Cardiac, renal, GI, and liver disorders c. Cerebrovascular disease d. Patients who are prone to suicide, diabetics, and those with bipolar disorders
When a person has bizarre thoughts that have no basis in reality the thought process is called:
A) a delusion. B) anxiety. C) depression. D) amnesia.