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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Someone comes over every day to help." While having help can be beneficial, this statement alone does not reflect how the client is emotionally or psychologically coping with the transition to parenthood. It may also indicate dependence rather than adjustment.

B. "We started having date nights." Re-establishing routines like date nights suggests that the client is adapting to their new role while maintaining a healthy relationship. It reflects positive coping and balance between parenting responsibilities and personal well-being.

C. "I am sad most of the time." Persistent sadness may indicate postpartum depression, which requires further assessment and intervention. It does not reflect healthy coping or adjustment to parenthood.

D. "My partner wants more intimacy." This statement focuses on the partner’s needs and does not indicate the client’s coping ability. It may even suggest stress or imbalance in the relationship if the client feels pressured or unready.

A. Strain the client's urine. B. Instruct visitors to stay 1 m (3.3 feet) away from the client. C. Attach a dosimeter to the client's gown. D. Limit each of the client's visitors to 2 hr per day.

Correct Answer is B

Explanation

A. Strain the client's urine: Straining urine is not necessary with low-dose rate brachytherapy for prostate cancer. The radioactive seeds are typically implanted permanently and remain in place; they are not expected to be excreted in the urine.

B. Instruct visitors to stay 1 m (3.3 feet) away from the client: Maintaining a safe distance reduces radiation exposure to others. Visitors, especially pregnant individuals and children, should remain at least 1 meter away to limit exposure while the implant is active.

C. Attach a dosimeter to the client's gown: The dosimeter is worn by staff members, not by the client. It measures cumulative radiation exposure to healthcare workers, ensuring safety guidelines are followed during patient care.

D. Limit each of the client's visitors to 2 hr per day: For low-dose permanent brachytherapy, the radiation levels are generally low, and strict time limits for visitors are usually unnecessary if distance and precautions are observed. Limiting time may apply more to high-dose temporary implants.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who has developed Stevens-Johnson syndrome. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who gave birth 12 weeks ago to their first baby. Which of the following statements by the client Indicates they are coping with the transition to parenthood?

Correct Answer is B

Explanation

A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant for treatment of prostate cancer. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?

A nurse in an inpatient mental health facility sees a client who is talking while walking alone. The client tells the nurse, "This guy in my head says I am to blame for my own illness." Which of the following responses should the nurse make?

A nurse is preparing to administer ceftriaxone via continuous IV Infusion to a client who has pelvic inflammatory disease. When preparing the infusion, the nurse should identify which of the following diluents as incompatible with this medication?

A nurse is planning assignments for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)

A nurse is caring for a client 15 min following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take first?

A client on an acute mental health unit states to a nurse, "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?

A nurse is teaching a client who has diverticulosis about eating a diet high in fiber. Which of the following foods should the nurse recommend as having the highest amount of fiber?

A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?