A nurse is assessing a client who has developed Stevens-Johnson syndrome. Which of the following manifestations should the nurse expect?
Scaly plaques on skin
Pearly papules with a central crater
Weeping skin surfaces
Irregularly shaped, pigmented papules
The Correct Answer is C
A. Scaly plaques on skin: Scaly plaques are more characteristic of chronic conditions like psoriasis, not Stevens-Johnson syndrome. SJS is an acute, severe mucocutaneous reaction involving widespread epidermal necrosis, not thick, scaly lesions.
B. Pearly papules with a central crater: This describes basal cell carcinoma, a form of skin cancer. It is not consistent with the acute, inflammatory, and blistering nature of Stevens-Johnson syndrome, which typically involves mucous membranes and skin detachment.
C. Weeping skin surfaces: Stevens-Johnson syndrome leads to widespread skin blistering, sloughing, and erosion, often resulting in moist, weeping lesions. This breakdown of the epidermis resembles a severe burn and is a hallmark of the condition.
D. Irregularly shaped, pigmented papules: These are often associated with melanoma or other pigmented skin disorders. They do not match the blistering, painful rash and mucosal involvement seen in SJS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased respiratory rate: Naloxone reverses the effects of opioid-induced respiratory depression. An increase in respiratory rate is a key indicator that the medication is working, as opioids like heroin can severely depress respiratory function, leading to fatal outcomes.
B. Polyuria: Increased urine output is not a typical response to opioid overdose or naloxone administration. Polyuria is more commonly associated with conditions like diabetes or diuretic use and does not indicate improvement in opioid toxicity.
C. Decreased temperature: Hypothermia can be seen in opioid overdose, but a drop in temperature after naloxone is administered is not a sign of recovery. In fact, body temperature is expected to normalize or rise as consciousness and circulation improve.
D. Bradycardia: Opioid overdose may lead to bradycardia, but improvement is typically marked by a return to a normal or slightly elevated heart rate. Persistent bradycardia after naloxone administration would be a concern rather than a sign of reversal.
Correct Answer is C
Explanation
A. Increased glucose level: CSF glucose levels are typically normal in multiple sclerosis. An increase in glucose is more commonly associated with systemic hyperglycemia or specific infections, not demyelinating diseases like MS.
B. Decreased lactic acid level: A decreased lactic acid level is not a characteristic finding in multiple sclerosis. Lactic acid in CSF is more relevant in differentiating types of infections, such as bacterial versus viral meningitis.
C. Increased protein level: Elevated protein in the CSF is a common finding in multiple sclerosis, often due to increased immunoglobulin production and the presence of oligoclonal bands, reflecting immune system activity in the CNS.
D. Decreased WBC count: While a mild increase in WBC count may be seen in MS, a decreased WBC count is not typical or diagnostic of the disease. Leukocyte levels in CSF are usually normal or slightly elevated in MS.
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