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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?
Increased pigmentation
Topi...
Med C ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2023 • RN VATI Adult Medical Surgical 2019 CLOSE Que s ti on90 loa de drati onal s provi de d Question: 90 of 90 CORRECT FLAG • Time Remaining: 00:38:42 • Pause Remaining: 00:05:00 PAUSE 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? 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 ANSWER 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 because topical 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 topical fluticasone; however, triamcinolone ointment does not cause photosensitivity. • RN VATI Adult Medical Surgical 2019 CLOSE Que s tion89 loa de drati onal s provi de d Question: 89 of 90 CORRECT Med C • Time Remaining: 00:37:45 Med C Frothy sputum FLAG • Pause Remaining: 00:05:00 PAUSE 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? 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 the venous system. Jugular distention The nurse should identify that jugular vein distention is a manifestation of right -sided heart failure 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 venous system. MY ANSWER The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations of left-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 CLOSE Que s tion88 loa de drati onal s provi de d Question: 88 of 90 CORRECT Med C FLAG • Time Remaining: 00:37:30 • Pause Remaining: 00:05:00 PAUSE 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 m Eq/L, PaO2 85 mm Hg. Which of the following acid -base imbalances should the nurse identify that the client is experiencing? MY ANSWER This pH is alkaline (increased) and the PCO 2 is decreased, representing alveolar hyperventilation and resultant respiratory alkalosis. Respiratory acidosis This pH is alkaline (increased) and the PCO 2 is decreased. A decreased pH and an increased PCO 2 indicate respiratory acidosis. Metabolic alkalosis This HCO 3- 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alka line (increased). An increased pH and HCO 3- indicate metabolic alkalosis. Metabolic acidosis This HCO 3- 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alka line (increased). A decreased pH and HCO 3- indicate metabolic acidosis. • RN VATI Adult Medical Surgical 2019 CLOSE Que s tion87 loa de drati onal s provi de d Question: 87 of 90 CORRECT FLAG • Time Remaining: 00:37:22 • Pause Remaining: 00:05:00 PAUSE A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? Vitiligo Respiratory alkalosis
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