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RN VATI Adult Medical Surgical Assessment/90 Questions & Answers/Updated Version
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RN VATI Adult Medical SurgicalAssessment/90 Questions & Answers/Updated
Version
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for
which of the following adverse effects? - -Thinning of the skin
-A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of left-sided
heart failure? - -Frothy sputum
-A nurse is caring for a client who is experiencing anxiety as well as
numbness and tingling of the lips 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 alkalosis
-A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect? - -Osteoporosis
-A nurse is inspecting the skin of a client who has basal cell carcinoma. The
nurse should identify which of the following lesion characteristics on the
client's skin? - -A pearly, waxy nodule
-A nurse is assessing a client who has hypocalcemia. In which of the
following areas should the nurse tap on the client's face to detect the
presence of Chvostek's sign? (You will find hot spots to select in the artwork
below. Select only the hot spot that corresponds to your answer.) - -A is
correct. The nurse should tap the client's cheek just in front of the ear and
below the zygomatic arch. The client who has hypocalcemia will display a
Chvostek's sign, which is a twitching of the facial muscle.
-A nurse in an emergency department is assessing a client who is overusing
prescribed diuretics and has a sodium level of 127 mEq/L. Which of the
following laboratory findings should the nurse expect? - -Low urine specific
gravity
-A home health nurse is assisting a client with planning care for a family
member who has Alzheimer's disease. Which of the following instructions
should the nurse include? - -Remove clutter from rooms and hallways.
, -A nurse is caring for a client who has developed acute respiratory distress
syndrome (ARDS). Which of the following findings should the nurse identify
as a manifestation of this syndrome? - -Refractory hypoxemia
-An emergency room nurse is assessing a client who has asthma and
difficulty breathing. Which of the following findings should indicate to the
nurse that the client is experiencing status asthmaticus? - -Use of accessory
muscles
-A nurse is teaching a client who has a new prescription for phenytoin to
treat a seizure disorder. Which of the following adverse effects should the
nurse instruct the client to report immediately to the provider? - -Skin rash
-A nurse is monitoring a client following a lumbar laminectomy. The client
has a drain and indwelling urinary catheter. The nurse should identify which
of the following findings as an indication of a complication of the surgery? - -
Clear drainage on the dressings
-A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of right-sided
heart failure? - -Increased abdominal girth
-A nurse is caring for a client who recently assumed the role of caregiver for
their aging parents who have chronic illnesses. The nurse should identify
that which of the following statements by the client indicates acceptance of
the role change? - -"I changed the floor plan of our home to accommodate
my father's wheelchair."
-A nurse is caring for a client who is receiving vancomycin intermittent IV
bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA). Which
of the following findings is an indication to the nurse that the client is
experiencing an adverse effect of the medication? - -The client is becoming
flushed.
-A nurse is caring for a male client who has a new prescription for
cyclosporine following a kidney transplant. Which of the following findings
should the nurse identify as an adverse effect of this therapy? - -BUN 24
mg/dL
-A nurse is caring for a client who has dumping syndrome following a gastric
resection. The nurse should monitor the client for which of the following
complications of dumping syndrome? - -Iron-deficiency anemia
-A nurse is assessing a client who takes salmeterol to treat moderate
asthma. Which of the following findings should indicate to the nurse that the
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