RN VATI Adult Medical Surgical

RN VATI Adult Medical Surgical
2019
1. 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 ettect 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
2. 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 fail-ure?: Frothy sputum
3. A nurse is caring for a client who is experiencing anxiety as well
as numb-ness and tingling of the
lipsandfingers.Theclient'sABGsare:pH7.48,PCO2 30mmHg,HCO3-
24mEq/L,PaO2 85mm Hg. Which of the following acid-base
imbalances should the nurse identify that the client is experiencing?:
Respiratory alkalosis
4. A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?:
Osteoporosis
5. 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?: A pearly, waxy nodule
6. A nurse is assessing a client who has hypocalcemia. In which of the
following areas should the nurse tap on the client's face to detect
the presence of Chvostek's sign? (You will find hot spots to select in
the artwork below. Select only the hot spot that corresponds to your


, RN VATI Adult Medical Surgical
2019
answer.): A is correct. The nurse should tap the client's cheek just in front of the ear and
below the zygomatic arch. The client who has hypocalcemia will display a Chvostek's sign, which is a
twitching of the facial muscle.






, RN VATI Adult Medical Surgical
2019
7. 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?: Low urine specific gravity
8. 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?: Review the daily schedule
with the client every morning.
9. 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?: Refractory hypoxemia
10. An emergency room nurse is assessing a client who has
asthma and diffi-culty breathing. Which of the following findings
should indicate to the nurse that the client is experiencing status
asthmaticus?: Flat neck veins
11. A nurse is teaching a client who has a new prescription for
phenytoin to treat a seizure disorder. Which of the following
adverse effects should the nurse instruct the client to report
immediately to the provider?: Skin rash
12. A nurse is monitoring a client following a lumbar
laminectomy. The client has a drain and indwelling urinary catheter.
The nurse should identify which of the following findings as an
indication of a complication of the surgery?: Clear drainage on the dressings
13. A nurse is assessing a client who has right-sided heart
failure. Which of the following findings should the nurse identify as
a manifestation of right-sided heart failure?: Increased abdominal girth
14. A nurse is caring for a client who recently assumed the role of
caregiver for their aging parents who have chronic illnesses. The
nurse should identify that which of the following statements by the
client indicates acceptance of the role change?: "I changed the floor plan of our
home to accommodate my father's wheelchair." ent IV
15. A nurse is caring for a client who is receiving vancomycin Which
intermitt bolus therapy for methicillin-resistant Staphylococcus exper



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