RN VATI Adult Medical-Surgical 2019 questions and answers

Question:e89eofe90 1




RN VATI Adult Medical Surgical 2019
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nurse is caring for a client who has atopic dermatitis and a prescription for
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triamcinoloneointment. The nurse should assess the client to monitor for w
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hich of the following adverse effects?
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Increased pigmentation e




Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
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Localized hair loss e e




Thinningeofetheeskin
Long-
term glucocorticoid therapy can cause hypertrichosis, or excessive hair gro
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wth,especially on the facial area
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Thinning of the skin and delayed healing are adverse effects of topical glucocorti
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coid preparations. The client should only apply the ointment to dry patches of th
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e skin becausetopical steroids can cause atrophy of the dermis and epidermis, w
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hich can result in thinning of the skin.
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Increased sensitivity to the sun e e e e




The nurse should instruct the client to avoid excessive sun exposure when taki
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ng topicalfluticasone; however, triamcinolone ointment does not cause photo
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sensitivity.


Question: 89 of 90
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CORRECT




JOE 1

, Question:e89eofe90 2



FLAG • PauseeRemaining:e00:05:00

PAUSE
A nurse is assessing a client who has left-
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sided heart failure. Which of the following findingsshould the nurse identify a
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s a manifestation of left-sided heart failure?
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Dependent edema e




The nurse should identify that dependent edema is a manifestation of right-
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sided heart failure due to right ventricular failure and fluid retention from press
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ure building up in thevenous system.
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Jugular distention e




The nurse should identify that jugular vein distention is a manifestation of right-
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sided heartfailure due to right ventricular failure and fluid retention from pressur
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e building up in the venous system.
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Weight gain e




The nurse should identify that weight gain is a manifestation of right-
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sided heart failure due to right ventricular failure and fluid retention from pressu
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re building up in the venoussystem.
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Frothyesputum



MY eANSWER




JOE 2

, Question:e88eofe90 3



The nurse should identify that frothy sputum, dyspnea, and wheezing are manife
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stations ofleft- e e


sided heart failure. Treatment includes fluid restriction and diuretics to decrease
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preload and reduce pulmonary congestion. Pink-
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tinged frothy sputum can be an early indication of pulmonary edema and can be l
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ife-threatening. Therefore, the nurse should notify the provider immediately.
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RN VATI Adult Medical Surgical 2019
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CLOSE
Que estione88eloadeederationalseprovideed




Question: 88 of 90 e e e


CORRECT




JOE 3

, Question:e88eofe90 4




• TimeeRemaining:e00:37:30
• PauseeRemaining:e00:05:00

PAUSE

FLAG

A nurse is caring for a client who is experiencing anxiety as well as numbness and
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tingling of thelips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HC
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O3- 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-
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base imbalances should the nurse identify that the client is experiencing?
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Respiratoryealkalosis

MY eANSWER




This pH is alkaline (increased) and the PCO is decreased, representing alveo
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lar hyperventilation and resultant respiratory alkalosis.
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Respiratory acidosis e



This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an i
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ncreased PCO indicate respiratory acidosis.
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Metabolic alkalosis e



This HCO e 3-


24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline (incre
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ased). An increased pH and HCO indicate metabolic alkalosis.
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Metabolic acidosis e



This HCO e 3-

24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline (incre
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ased). A decreased pH and HCO indicate metabolic acidosis.
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