2023 RN Adult Medical Surgical LATEST UPDATED APRIL 2023 TESTTBANK GRADED A

RN VATI Adult Medical Surgical 2019 CLOSE Q ue stion 90 loade d rationals provi de d 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 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,ei specially 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 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 CLOSE Q ue stion 89 loade d rationals provi de d Question: 89 of 90 CORRECT Time Remaining: 00:37:45 FLAG Pause Remaining: 00:05:00 PAUSE A nurse is assessing a client who has left-sided heart failure. Which of the following findingsiishould 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. Jugular distention 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. MY ANSWER 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,