A nurse is assessing a 28-year-old patient who was admitted with suspected Stevens-Johnson syndrome (SJS). Whi…

Question

A nurse is assessing a 28-year-old patient who was admitted with suspected Stevens-Johnson syndrome (SJS). Which assessment finding would be most indicative of SJS progression and require immediate intervention?

Accepted Answer

보기 3: Extensive mucosal involvement with conjunctival erythema and oral erosions covering more than 30% of the oral cavity

Extensive mucosal involvement covering over 30% of the oral cavity indicates severe SJS progression requiring immediate intervention. Other options describe milder findings like target lesions or localized blistering not indicative of urgent progression.

Answer

보기 1: Presence of target-like lesions on the extremities with mild oral discomfort

Answer

보기 2: Scattered erythematous patches on the trunk with slight skin tenderness

Answer

보기 4: Localized skin blistering on the hands and feet with intact epidermis

Concept	Key Feature	Nursing Implication
Stevens-Johnson Syndrome (SJS)	Epidermal detachment <10% BSA, severe mucosal involvement	Manage as a burn patient, stop causative drug, prevent infection
Toxic Epidermal Necrolysis (TEN)	Epidermal detachment >30% BSA	High mortality, requires ICU/burn unit care
Erythema Multiforme (EM)	Target lesions, limited mucosal involvement	Less severe, often post-infection (e.g., HSV)
Core Assessment	Mucosal surfaces (oral, 같은 단원 문제 A 40-year-old male client presents to the emergency department with severe pain in his rig… A nurse is assessing a 55-year-old male client who presents to the emergency department wi… A nurse is caring for a client with gout who is experiencing an acute flare-up with severe… A nurse is caring for a patient with Stevens-Johnson syndrome (SJS). Which nursing action … A nurse is caring for a client with toxic epidermal necrolysis (TEN). Which nursing interv… A nurse is caring for a client diagnosed with Stevens-Johnson syndrome (SJS). Which nursin… A nurse is caring for a patient diagnosed with Stevens-Johnson syndrome (SJS). Which nursi… Practice Questions 3,332 문제 · 로그인 없이 바로 볼 수 있어요 마이메르시로 국가고시 완벽 대비 기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요. 무료로 시작하기 App Store Google Play 학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요. 이 문제가 수록된 문제집 NCLEX-RN Package 문제집 3,332문제 · 89,000원 문제집 보기 다음 문제 같은 단원 문제 A 40-year-old male client presents to the emergency department with severe pain in his rig… A nurse is assessing a 55-year-old male client who presents to the emergency department wi… A nurse is caring for a client with gout who is experiencing an acute flare-up with severe… 마이메르시로 국가고시 완벽 대비 기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요. 무료로 시작하기 다음 문제 무료로 시작하기

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A nurse is assessing a 28-year-old patient who was admitted with suspected Stevens-Johnson syndrome (SJS). Which assessment finding would be most indicative of SJS progression and require immediate intervention?

마이메르시로 국가고시 완벽 대비