Stevens-Johnson Syndrome (SJS) Nursing Quiz
Assess your understanding of Stevens-Johnson Syndrome (SJS) through clinical scenarios, symptoms, and care priorities in nursing practice.
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Quiz Questions & Answers
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Question 1: A nurse suspects Stevens-Johnson Syndrome in a client recently started on a new medication who develops a high fever and painful red-purple blisters with skin peeling. What is the nurse's first action?
Apply a moisturizing lotion to the affected areas.
Administer the scheduled dose of the medication.
Discontinue the suspected medication and notify the healthcare provider.
Place the client in a room with a stable roommate for monitoring.
Question 2: In the early stages of Stevens-Johnson Syndrome, what is the most typical progression of symptoms a nurse should recognize?
Localized honey-colored crusts on the skin.
Flu-like symptoms followed by a painful, blistering rash and mucosal involvement.
Chronic silvery scales on elbows and knees.
A painless circular 'bullseye' rash on the limbs.
Question 3: For a client with Stevens-Johnson Syndrome affecting 25% of body surface area, which nursing intervention takes priority to prevent complications?
Encouraging ambulation in the hallway twice daily.
Maintaining strict aseptic technique during dressing changes.
Providing a high-fiber diet to avoid constipation.
Administering oral aspirin for pain and fever.
Question 4: A client with Stevens-Johnson Syndrome develops extensive oral mucosal lesions. Which intervention should the nurse prioritize for oral hygiene?
Provide firm-bristled toothbrushes for cleaning.
Offer acidic juices like orange juice for vitamin C.
Use saline or bicarbonate mouth rinses frequently.
Apply alcohol-based mouthwash to disinfect.
Question 5: Which laboratory values should a nurse monitor as a priority in a client with severe Stevens-Johnson Syndrome due to systemic effects?
Thyroid-stimulating hormone (TSH) levels.
Serum albumin and electrolytes.
Serum cholesterol levels.
Blood glucose every 8 hours.
Question 6: A nurse is differentiating Stevens-Johnson Syndrome from other skin conditions in a client with a new blistering rash. Which feature helps rule out impetigo?
Presence of widespread mucosal involvement.
Development of silvery scales on joints.
A single painless bullseye lesion.
Chronic itching without fever.
Question 7: In managing pain for a client with Stevens-Johnson Syndrome, why should a nurse avoid recommending oral aspirin?
It may worsen electrolyte imbalances.
It increases risk of further skin complications or Reye's syndrome in vulnerable groups.
It interferes with aseptic dressing techniques.
It reduces the effectiveness of mouth rinses.
Question 8: A client with suspected Stevens-Johnson Syndrome presents with flu-like symptoms and a rash. What underlying mechanism should the nurse consider when evaluating medication history?
Bacterial colonization of the skin.
Medication-induced hypersensitivity reaction.
Autoimmune attack on joint tissues.
Viral replication in mucous membranes.