A Child Has Been Admitted for Treatment of Stevens-Johnson Syndrome

A child has been admitted for treatment of Stevens-Johnson syndrome (SJS) . The nurse assuming care for this patient would expect which assessment findings?. Select all that apply.

A) Blue-tinged target lesions
B) Positive Nikolsky's sign
C) Lesions on the face, neck, and extremities
D) Initial involvement of less than 20% of total body surface area
E) Involvement of at least two mucous membranes