ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
11-year-old diagnosed 2 years ago with tonic-clonic seizure disorder. Three months ago, neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. Diagnostic Results 1030: WBC count 8,500/mm3, RBC count 4.2, Hemoglobin 11 g/dL, Hematocrit 40%, Platelet count 216,000/mm3, Phenytoin Level: 6 mcg/mL (10 to 20 mcg/mL), Liver Enzymes: ALT 32units/L, ALP 240units/L, AST 44units/L, Albumin 4.1 g/dL, Total protein 6.5, Direct bilirubin 0.3 mg/dL, Indirect bilirubin 0.8 mg/dL. Vital Signs 0900: Temperature 36.8° C (98.2° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 116/78 mm Hg, SaO2 94% on room air. Nurses Notes 0900: Child reports a harsh non-productive cough worse when playing outside and at night, feels short of breath during coughing episodes. Guardian reports 3 seizures over the past week, last one yesterday morning, tonic-clonic, lasted 2 minutes. Child is alert, oriented. Noted dry, hyperpigmented, patchy, itchy skin in antecubital area with scratch marks and dried blood. Child has a 1-year history of mild exercise-induced asthma, prescribed albuterol prn.
Question 1 of 5
The client is at risk for developing due to .
Correct Answer: A,B
Rationale: The correct answer is A and B. Stevens-Johnson syndrome is a severe skin reaction characterized by rash, blisters, and skin peeling. The client is at risk for developing Stevens-Johnson syndrome due to certain medications, infections, or underlying medical conditions. Skin rash is also a common symptom of Stevens-Johnson syndrome. Other choices are incorrect as they do not specifically relate to the risk factors or manifestations of Stevens-Johnson syndrome.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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