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RN VATI
MEDICAL
SURGICAL
2021
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RN VATI Adult Medical Surgical 2019
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Question 90 loaded rationals provided
Question: 90 of 90
CORRECT
Time Remaining: 00:38:42
Pause Remaining: 00:05:00
PAUSE
FLAG
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 ANSW ER
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
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Question 89 loaded rationals provided
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Question: 89 of 90
CORRECT
Time Remaining: 00:37:45
Pause Remaining: 00:05:00
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FLAG
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.
Frothy sputum
MY ANSW ER
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.
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RN VATI Adult Medical Surgical 2019
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Question 88 loaded rationals provided
Question: 88 of 90
CORRECT
Time Remaining: 00:37:30
Pause Remaining: 00:05:00
PAUSE
FLAG
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, PCO 30 mm Hg, HCO 24 mEq/L, PaO 85 mm
2 3
-
2
Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
Respiratory alkalosis
MY ANSW ER
This pH is alkaline (increased) and the PCO is decreased, representing 2
alveolar hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH 2
and an increased 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
3
-
pH is alkaline (increased). An increased pH and HCO indicate metabolic 3
-
alkalosis.
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the
3
-
pH is alkaline (increased). A decreased pH and HCO indicate metabolic 3
-
acidosis.
RN VATI Adult Medical Surgical 2019
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Question 87 loaded rationals provided
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
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RN VATI
MEDICAL
SURGICAL
2021
Downloaded by: Ariah |
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RN VATI Adult Medical Surgical 2019
CLOSE
Question 90 loaded rationals provided
Question: 90 of 90
CORRECT
Time Remaining: 00:38:42
Pause Remaining: 00:05:00
PAUSE
FLAG
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 ANSW ER
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
Question 89 loaded rationals provided
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Question: 89 of 90
CORRECT
Time Remaining: 00:37:45
Pause Remaining: 00:05:00
PAUSE
FLAG
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.
Frothy sputum
MY ANSW ER
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.
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
RN VATI Adult Medical Surgical 2019
CLOSE
Question 88 loaded rationals provided
Question: 88 of 90
CORRECT
Time Remaining: 00:37:30
Pause Remaining: 00:05:00
PAUSE
FLAG
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, PCO 30 mm Hg, HCO 24 mEq/L, PaO 85 mm
2 3
-
2
Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
Respiratory alkalosis
MY ANSW ER
This pH is alkaline (increased) and the PCO is decreased, representing 2
alveolar hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH 2
and an increased 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
3
-
pH is alkaline (increased). An increased pH and HCO indicate metabolic 3
-
alkalosis.
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the
3
-
pH is alkaline (increased). A decreased pH and HCO indicate metabolic 3
-
acidosis.
RN VATI Adult Medical Surgical 2019
CLOSE
Question 87 loaded rationals provided
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
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