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RN VATI Adult Medical Surgical answered 2023 all
questions answered correctly
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? Correct Answer: Thinning of the skin.
Only apply the ointment to dry patches of the skin to avoid atrophy.
Topical Glucocorticoids Side effects Correct Answer: Tiamcinolone
- Hypopigmentation
- Excessive hair growth (hypertrichosis)
- 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? Correct Answer: Frothy sputum
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.
Left Sided Heart Failure Correct Answer: - Frothy sputum
- Dyspnea
- Wheezing
Treatment:
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,CLASSROOM CLASSROOM CLASSROOM
Fluid restriction & diuretics to decrease preload & pulmonary congestion
Right heart sided failure Correct Answer: - Dependent edma
- Jugular distention
- Weight gain
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? Correct Answer: Respiratory alkalosis
- The pH is alkaline
- PCO2 is low representing alveolar hyperventilation & respiratory alkalosis
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findings should the nurse expect? Correct Answer: Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen depletion.
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?
Correct Answer: A pearly, waxy nodule.
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- Basal cell carcinoma has a nodular lesion with well defined borders & pearly or
waxy apperance from ocerexposure to the sun.
Melanoma Correct Answer: Irregular border and varigated colored lesions of red,
white, blue.
- Most often on the upper back or lower legs
Squamous cell carcinoma Correct Answer: Firm, nodular, and crusty lesion with
an ulcerated center from sun exposure, chronic irritation, burns, or irradiation to
the skin.
weeping vescile Correct Answer: Herpes Zoster
- Weeping, blister type lesions.
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? Correct Answer: LOW URINE
SPECFIC GRAVITY.
Hyponatremia Correct Answer: - Low specific gravity
- Elevated hemoglobin
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? Correct Answer: Remove clutter from rooms and hallways
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, CLASSROOM CLASSROOM CLASSROOM
- This allows the client is able to walk without the risk of falling or tripping over
objects. Later in the disease, the client can experience seizures, so cluttered areas
could be a risk to the client
Alzheimer's interventions Correct Answer: - Single date calender
- Redirect the client by starting another activity
- Use short, simple senteces when explaining an activity
- Explanation should be done immediately before an activity
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? Correct Answer: REFRACTORY HYPOXEMIA
- A client who has ARDS has refractory hypoxemia, which is hypoxemia that does
not improve with oxygen therapy. Extensive pulmonary edema evident on a chest
x-ray is a manifestation of ARDS.
Pulmonary embolism Correct Answer: - Pleural friction rub
- Tachypnea
- Tachycardia
- Dyspnea
- Sudden, sharp chest pain
Tension pneumothorax Correct Answer: - Trachial deviation
- Dyspnea
CLASSROOM CLASSROOM CLASSROOM
RN VATI Adult Medical Surgical answered 2023 all
questions answered correctly
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? Correct Answer: Thinning of the skin.
Only apply the ointment to dry patches of the skin to avoid atrophy.
Topical Glucocorticoids Side effects Correct Answer: Tiamcinolone
- Hypopigmentation
- Excessive hair growth (hypertrichosis)
- 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? Correct Answer: Frothy sputum
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.
Left Sided Heart Failure Correct Answer: - Frothy sputum
- Dyspnea
- Wheezing
Treatment:
CLASSROOM CLASSROOM CLASSROOM
,CLASSROOM CLASSROOM CLASSROOM
Fluid restriction & diuretics to decrease preload & pulmonary congestion
Right heart sided failure Correct Answer: - Dependent edma
- Jugular distention
- Weight gain
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? Correct Answer: Respiratory alkalosis
- The pH is alkaline
- PCO2 is low representing alveolar hyperventilation & respiratory alkalosis
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findings should the nurse expect? Correct Answer: Osteoporosis
Bone become thinner as a result of mineral loss & nitrogen depletion.
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?
Correct Answer: A pearly, waxy nodule.
CLASSROOM CLASSROOM CLASSROOM
,CLASSROOM CLASSROOM CLASSROOM
- Basal cell carcinoma has a nodular lesion with well defined borders & pearly or
waxy apperance from ocerexposure to the sun.
Melanoma Correct Answer: Irregular border and varigated colored lesions of red,
white, blue.
- Most often on the upper back or lower legs
Squamous cell carcinoma Correct Answer: Firm, nodular, and crusty lesion with
an ulcerated center from sun exposure, chronic irritation, burns, or irradiation to
the skin.
weeping vescile Correct Answer: Herpes Zoster
- Weeping, blister type lesions.
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? Correct Answer: LOW URINE
SPECFIC GRAVITY.
Hyponatremia Correct Answer: - Low specific gravity
- Elevated hemoglobin
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? Correct Answer: Remove clutter from rooms and hallways
CLASSROOM CLASSROOM CLASSROOM
, CLASSROOM CLASSROOM CLASSROOM
- This allows the client is able to walk without the risk of falling or tripping over
objects. Later in the disease, the client can experience seizures, so cluttered areas
could be a risk to the client
Alzheimer's interventions Correct Answer: - Single date calender
- Redirect the client by starting another activity
- Use short, simple senteces when explaining an activity
- Explanation should be done immediately before an activity
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? Correct Answer: REFRACTORY HYPOXEMIA
- A client who has ARDS has refractory hypoxemia, which is hypoxemia that does
not improve with oxygen therapy. Extensive pulmonary edema evident on a chest
x-ray is a manifestation of ARDS.
Pulmonary embolism Correct Answer: - Pleural friction rub
- Tachypnea
- Tachycardia
- Dyspnea
- Sudden, sharp chest pain
Tension pneumothorax Correct Answer: - Trachial deviation
- Dyspnea
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