Edna Jones, a 56-year-old patient, is admitted to the burn unit with the diagnos

Question

Edna Jones, a 56-year-old patient, is admitted to the burn unit with the diagnosis of toxic epidermal necrolysis. The patient developed the rapid onset of skin erythema and mucous membranes with large sheets of epidermis being shed, leaving the dermis exposed and painful. There are several painful lesions in her mouth. Her fingernails and toenails fell off as the skin sloughed. The patient had received a sulfonamide and had this reaction. The sulfonamide has been discontinued

a.       What assessment should the nurse conduct?

b.      What nursing interventions should the nurse provide?

Explanation / Answer

Diagnosis: Toxic epidermal necrolysis

Patient received Sulfonamide and has developed reactions to it.

a) Assessment includes:

b) Intervention includes:

After the assessment,

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