Neurological Question #50


A client taking lamotrigine (Lamictal) for seizure control comes to the clinic for complaints of muscle pain and fatigue. The nurse should focus assessment on which priority findings present in Stevens-Johnson Syndrome?

Select all that apply.


  1. Complaints of muscle pain.
    • Rationale:
  2. Dizziness.
    • Rationale:
  3. Lesions on mucous membranes.
    • Rationale:
  4. Flu-like symptoms.
    • Rationale:
  5. Painful rash with blisters.
    • Rationale:



Stevens-Johnson Syndrome (SJS) is a serious illness of the mucous membranes and skin and thought to be a disorder of the body’s immune system. SJS is usually caused by a medication reaction that begins with symptoms much like the flu, followed by a rash which is painful and spreads over the body. The skin forms blisters on the skin and mucous membranes of the eyes, nose, mouth, and genitalia. The skin eventually sheds after formation of the blisters. Other symptoms include fever, body aches, fatigue, skin pain, mouth and throat soreness, peeling skin, and eyes burning and swollen shut. Dizziness is not a symptom of SJS.

Learning Outcomes

Test Taking Tip

Video Rationale