The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.

Dryness of the eyes.

Skin peeling on eyelids.

Pruritus of the eyes.

Burning of the eyes.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Dryness of the eyes, or xerophthalmia, is a common symptom of keratoconjunctivitis. It indicates the involvement of the conjunctiva and cornea, often seen in conditions like Stevens-Johnson syndrome or toxic epidermal necrolysis.

Choice B rationale

Skin peeling on the eyelids suggests severe involvement of the ocular adnexa and can be a sign of advancing keratoconjunctivitis. This symptom reflects significant mucocutaneous damage.

Choice C rationale

Pruritus, or itching, is less specific for keratoconjunctivitis and more commonly associated with allergic reactions or less severe irritations. It is not a primary indicator of the disease's progression.

Choice D rationale

Burning of the eyes is a symptom of keratoconjunctivitis, indicating inflammation and irritation of the conjunctiva and cornea. This symptom helps in identifying the progression of the condition. .

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Correct Answer is B

Explanation

Choice A rationale

Hematoma formation is the initial stage of fracture healing, where a blood clot forms around the fracture site, creating a foundation for subsequent healing phases.

Choice B rationale

Remodeling is the final phase of bone healing, where compact bone replaces spongy bone, restoring the bone's structure and function.

Choice C rationale

Bony callus formation involves the development of new bone (callus) around the fracture site, which eventually transitions to compact bone during remodeling.

Choice D rationale

Fibrocartilaginous callus formation is an earlier stage of fracture healing, characterized by the formation of a soft callus made of collagen and cartilage that stabilizes the fracture.

A. Vitiligo. B. Psoriasis. C. Melanoma. D. Diabetes. E. Diabetes.

Correct Answer is B

Explanation

Choice A rationale

Vitiligo is a condition characterized by depigmentation of the skin, leading to white patches. It does not typically affect the fingernails, so pitting on the surface of the nails is not indicative of vitiligo.

Choice B rationale

Psoriasis is a chronic skin condition that often affects the nails, leading to pitting or the appearance of small depressions on the nail surface. Nail psoriasis can also cause discoloration, thickening, and separation of the nail from the nail bed.

Choice C rationale

Melanoma is a type of skin cancer that can affect the nails, causing dark streaks or pigmentation changes. However, pitting on the surface of the nails is not a characteristic feature of melanoma.

Choice D rationale

Diabetes can lead to various nail changes, including thickening and yellowing of the nails, but it does not typically cause pitting on the nail surface. Pitting is more specific to psoriasis.

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The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client's fracture is healing and compact bone is replacing spongy bone around the periphery of the fracture. This process characterizes what phase of the bone healing process?

Correct Answer is B

Explanation

The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

Correct Answer is B

Explanation

The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.

A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

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