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 C
Explanation
A. Paralytic ileus may occur due to shock or stress but is not the immediate priority.
B. Fluid imbalance is critical but is secondary to airway patency in this case.
C. Airway obstruction is the most immediate concern due to the location of the burns, which can cause swelling and compromise breathing.
D. Infection risk is high with burns but is less immediate than airway maintenance.
Correct Answer is D
Explanation
A. A low-protein diet would not cause elevated sodium levels.
B. SIADH typically leads to low sodium levels (hyponatremia), not hypernatremia.
C. Renal failure often involves abnormal potassium or creatinine levels, which are normal here.
D. Elevated sodium and dehydration are consistent with excessive fluid loss from heat exposure.
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