A nurse is caring for an African American patient who has been admitted to the unit for long-term antibiotic therapy with sulfonamides. The patient develops 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.


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, and patients should be observed for these signs. The patient's signs and symptoms are not characteristic of Stevens-Johnson syndrome or hepatotoxicity. The patient's signs and symp-toms are not characteristic of kernicterus, which occurs in newborns.

Nursing

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