Exhibits
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Stevens-Johnson syndrome: This is a serious skin reaction that can be triggered by medications such as phenytoin. The child has reported itchy, hyperpigmented patches with scratch marks and dried blood, which raises concern for a drug-induced skin reaction.
Skin rash: The presence of a skin rash, particularly one that is itchy and may be associated with recent medication changes, warrants close monitoring for potential development of Stevens-Johnson syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood pressure may fluctuate but is less sensitive as an early indicator of fluid resuscitation efficacy.
B. A decrease in heart rate is a sign of improved hydration status, as tachycardia is often a compensatory response to hypovolemia.
C. Weight is not used as an immediate indicator for fluid resuscitation adequacy.
D. Urine output should increase with adequate fluid resuscitation; a decrease in urine output would indicate worsening.
Correct Answer is A
Explanation
A. Children with Down syndrome often experience developmental delays, and explaining this helps reassure the parent.
B. While a physical therapist may be helpful, the nurse should first address the parent's concerns with information.
C. Asking about siblings does not address the parent's specific concern.
D. Asking about other milestones may shift focus away from the parent's immediate worry.
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