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

Lamellae are layers of bone tissue arranged in concentric circles in compact bone, not cells responsible for bone matrix secretion.

Choice B rationale

Osteoblasts are the cells responsible for the secretion of bone matrix. They produce collagen and other substances necessary for bone formation and growth.

Choice C rationale

Osteocytes are mature bone cells derived from osteoblasts. They maintain bone tissue but do not secrete bone matrix.

Choice D rationale

Osteoclasts are cells involved in the resorption of bone tissue, not the secretion of bone matrix. They break down bone tissue during growth and repair.

A. Balance. B. Hearing. C. Speech. D. Vision.

Correct Answer is C

Explanation

Choice A rationale

Damage to Broca's area of the left frontal lobe does not typically affect balance. Balance is more associated with the cerebellum and inner ear structures.

Choice B rationale

Hearing is processed primarily in the temporal lobe, not in Broca's area of the frontal lobe. Damage to Broca's area does not typically impact hearing.

Choice C rationale

Broca's area is responsible for speech production and language processing. Damage to this area can result in Broca's aphasia, characterized by difficulty in speaking and writing but with relatively preserved comprehension.

Choice D rationale

Vision is primarily processed in the occipital lobe. Damage to Broca's area does not affect vision.

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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 child is growing at a rate appropriate for their age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth?

Correct Answer is B

Explanation

A client has been diagnosed with damage to Broca's area of the left frontal lobe. To document the extent of damage, the nurse would assess the client's:

Correct Answer is C

Explanation

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