RN VATI Adult Medical Surgical 2019;Mohave Community College - MED SURG 450 RN VATI Adult Medical Surgical 2019
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RN VATI Adult Medical Surgical 2019;Mohave Community College -
MED SURG 450 RN VATI Adult Medical Surgical 2019
RNVATIAdult Medical Surgical 2019
CLOSE Qu e st i o n 9 0 lo ad e drat i on a ls p r o v i d e d
Question: 90 of 90
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rn vati adult medical surgical 2019mohave community college med surg 450 rn vati adult medical surgical 2019
rn vati adult medical surgical 2019mohave community college
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RN VATI Adult Medical Surgical 2019;Mohave Community College -
MED SURG 450 RN VATI Adult Medical Surgical 2019
RN VATI Adult Medical Surgical 2019
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Qu e sti o n 90 lo ad e drat i on a ls pr o v i d e d
Question: 90 of 90
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A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinoloneointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth,especially on the facial area.
Thinning of the skin
MY A NSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
becausetopical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topicalfluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
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Qu e sti o n 89 lo ad e drat i on a ls pr o v i d e d
Question: 89 of 90
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A nurse is assessing a client who has left-sided heart failure. Which of the following
findingsishould the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided heart
failure due to right ventricular failure and fluid retention from pressure building up in
thevenous system.
Jugulardistention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heartfailure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venoussystem.
Frothy sputum
MY A NSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations
ofleft-sided heart failure. Treatment includes fluid restriction and diuretics to decrease
preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be an early
indication of pulmonary edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
RN VATI Adult Medical Surgical 2019
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Qu e stion 88 lo ad e drat i o n als pr o v id e d
Question: 88 of 90
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A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of
thelips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
Respiratory ialkalosis
MY A NSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar2
hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased
2
PCO indicate respiratory acidosis. 2
Metabolic alkalosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). An increased pH and HCO indicate metabolic alkalosis. 3-
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). A decreased pH and HCO indicate metabolic acidosis. 3-
RN VATI Adult Medical Surgical 2019
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Qu e sti o n 87 lo ad e drat i on a ls pr o v i d e d
Question: 87 of 90
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A nurse is assessing a client who has Cushing's syndrome. Which of the following
findingsishould the nurse expect?
Vitiligo
, Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white
patches.Vitiligo is a manifestation of adrenal-gland hypofunction.
Osteoporosis
MY A NSWER
Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as
aresult of mineral loss and nitrogen depletion, and the risk for fractures increases.
Myxedema
A client who has hypothyroidism can develop myxedema that causes mucinous
cellularedema around the eyes, across the upper back, and in the hands and feet.
Heat intolerance
A client who has hyperthyroidism can develop heat intolerance, along with an increase
insweating.
RN VATI Adult Medical Surgical 2019
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Qu e sti o n 86 lo ad e drat i on a ls pr o v i d e d
Question: 86 of 90
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A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should
identifywhich of the following lesion characteristics on the client's skin?
A ipearly, iwaxy inodule
MY A NSWER
A client who has basal cell carcinoma has a nodular lesion with well-defined borders and
a pearly or waxy appearance, resulting from overexposure to the sun, especially on the
face,head, and neck.
An irregular border on a variegated-colored lesion
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