RN VATI Adult Medical Surgical 2021


RN VATI Adult Medical Surgical 2021
54 54 54 54
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Question:549054of5490
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FLAG
A54nurse54is54caring54for54a54client54who54has54atopic54dermatitis54and54a54prescription54for54tria
mcinolone54ointment.54The54nurse54should54assess54the54client54to54monitor54for54which54of54the5
4following54adverse54effects?



Increased54pigmentation

Topical54glucocorticoid54therapy54can54cause54the54adverse54effect54of54hypopigmentation
.54

Localized54hair54loss

Long-
term54glucocorticoid54therapy54can54cause54hypertrichosis,54or54excessive54hair54growth,5
4especially54on54the54facial54area.


Thinning54of54the54skin

MY 54 ANSWER




Thinning54of54the54skin54and54delayed54healing54are54adverse54effects54of54topical54glucoc
orticoid54preparations.54The54client54should54only54apply54the54ointment54to54dry54patche
s54of54the54skin54because54topical54steroids54can54cause54atrophy54of54the54dermis54and54
epidermis,54which54can54result54in54thinning54of54the54skin.54

Increased54sensitivity54to54the54sun

The54nurse54should54instruct54the54client54to54avoid54excessive54sun54exposure54when54ta
king54topical54fluticasone;54however,54triamcinolone54ointment54does54not54cause54photos
ensitivity.

,
RN54VATI54Adult54Medical54Surgical542019
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Question:548954of5490
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 Time54Remaining:5400:37:45
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A54nurse54is54assessing54a54client54who54has54left-
sided54heart54failure.54Which54of54the54following54findings54should54the54nurse54identify54as54a5
4manifestation54of54left-sided54heart54failure?



Dependent54edema

The54nurse54should54identify54that54dependent54edema54is54a54manifestation54of54right-
sided54heart54failure54due54to54right54ventricular54failure54and54fluid54retention54from54pr
essure54building54up54in54the54venous54system.

Jugular54distention

The54nurse54should54identify54that54jugular54vein54distention54is54a54manifestation54of54ri
ght-
sided54heart54failure54due54to54right54ventricular54failure54and54fluid54retention54from54pr
essure54building54up54in54the54venous54system.

Weight54gain

The54nurse54should54identify54that54weight54gain54is54a54manifestation54of54right-
sided54heart54failure54due54to54right54ventricular54failure54and54fluid54retention54from54pr
essure54building54up54in54the54venous54system.

Frothy54sputum

MY 54 ANSWER




The54nurse54should54identify54that54frothy54sputum,54dyspnea,54and54wheezing54are54man
ifestations54of54left-
sided54heart54failure.54Treatment54includes54fluid54restriction54and54diuretics54to54decrea

, se54preload54and54reduce54pulmonary54congestion.54Pink-
tinged54frothy54sputum54can54be54an54early54indication54of54pulmonary54edema54and54can
54be54life-

threatening.54Therefore,54the54nurse54should54notify54the54provider54immediately.


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Question:548854of5490
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FLAG
A54nurse54is54caring54for54a54client54who54is54experiencing54anxiety54as54well54as54numbness54a
nd54tingling54of54the54lips54and54fingers.54The54client's54ABGs54are:54pH547.48,54PCO2543054mm54
Hg,54HCO3-542454mEq/L,54PaO2548554mm54Hg.54Which54of54the54following54acid-
base54imbalances54should54the54nurse54identify54that54the54client54is54experiencing?

Respiratory54alkalosis

MY 54 ANSWER




This54pH54is54alkaline54(increased)54and54the54PCO 54is54decreased,54representing54alveola
2


r54hyperventilation54and54resultant54respiratory54alkalosis.
Respiratory54acidosis
This54pH54is54alkaline54(increased)54and54the54PCO 54is54decreased.54A54decreased54pH54a
2


nd54an54increased54PCO 54indicate54respiratory54acidosis.54 2

Metabolic54alkalosis
This54HCO 3-


542454mEq/L54is54within54the54expected54range54of542154to542854mEq/L54and54the54pH54is

54alkaline54(increased).54An54increased54pH54and54HCO3-54indicate54metabolic54alkalosis.
Metabolic54acidosis
This54HCO 3-


542454mEq/L54is54within54the54expected54range54of542154to542854mEq/L54and54the54pH54is

54alkaline54(increased).54A54decreased54pH54and54HCO 54indicate54metabolic54acidosis.
3-




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RN54VATI54Adult54Medical54Surgical542019

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Question:548754of5490
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 Time54Remaining:5400:37:22
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A54nurse54is54assessing54a54client54who54has54Cushing's54syndrome.54Which54of54the54following5
4findings54should54the54nurse54expect?



Vitiligo

Vitiligo54is54the54loss54of54pigment54from54areas54of54a54client's54skin,54causing54irregular,
54white54patches.54Vitiligo54is54a54manifestation54of54adrenal-gland54hypofunction.


Osteoporosis

MY 54 ANSWER




Osteoporosis54is54a54common54finding54with54Cushing's54syndrome.54Bones54become54thi
nner54as54a54result54of54mineral54loss54and54nitrogen54depletion,54and54the54risk54for54fra
ctures54increases.

Myxedema

A54client54who54has54hypothyroidism54can54develop54myxedema54that54causes54mucinous
54cellular54edema54around54the54eyes,54across54the54upper54back,54and54in54the54hands54a

nd54feet.54

Heat54intolerance

A54client54who54has54hyperthyroidism54can54develop54heat54intolerance,54along54with54an
54increase54in54sweating.




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Question:548654of5490