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RN VATI Adult Medical Surgical Exam Guide.

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RN VATI Adult Medical Surgical Exam Guide. 1. A nurse is caring for a client who has atopic dermati- tis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects? 2. assessing a client who has left-sided heart failure. Which of the following findings should the nurse iden- tify as a manifestation of left-sided heart failure? 3. A nurse is caring for a client who is experi- encing anxiety as well as numbness 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? 4. A nurse is assessing a client who has Cushing's syn- drome. Which of the following findings should the nurse expect? Increased pigmentation Topical glucocorticoid therapy can cause the ad- verse ettect of hypopig- mentation. Localized hair loss Long-term glucocorticoid therapy can cause hyper- trichosis, or excessive hair growth, especially on the facial area. Thinning of the skin Frothy sputum Respiratory alkalosis Osteoporosis 5. A nurse is inspecting the skin of a client who has basal A pearly, waxy nodule cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin? 6. A nurse is assessing a client who has hypocalcemia. In A is correct. The nurse 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 answer.) 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? should tap the client's cheek just in front of the ear and below the zy- gomatic arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial muscle. Low urine specific gravity A home health nurse is assisting a client with planning Review t

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RN VATI Adult Medical Surgical Exam Guide.

1. A nurse is caring for a client who has atopic Cushing's
dermati- tis and a prescription for triamcinolone syn-
ointment. The nurse should assess the client to drome.
monitor for which of the following adverse Which of
effects? the
following
findings
should
the nurse
expect?




2. assessing a client who has left-sided heart
failure. Which of the following findings should
the nurse iden- tify as a manifestation of left-
sided heart failure?

3. A nurse is caring for a client who is
experi- encing anxiety as well as
numbness 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?

4. A nurse is assessing a client who has


, RN VATI Adult Medical Surgical Exam Guide.

Increased pigmentation

Topical glucocorticoid therapy can cause the ad- verse ettect of hypopig-
mentation.

Localized hair loss

Long-term glucocorticoid therapy can cause hyper- trichosis, or excessive hair
growth, especially on the facial area.


Thinning of the skin Frothy sputum




Respiratory alkalosis




Osteoporosis






, RN VATI Adult Medical Surgical Exam Guide.

5. A nurse is inspecting the skin of a client who has basal A pearly,
waxy nodule
cell carcinoma. The nurse should identify which
of the following lesion characteristics on the
client's skin?

6. A nurse is assessing a client who has hypocalcemia. In A is correct.
The nurse
which of the following areas should the nurse tapshould tap the client's
on the client's face to detect the presence of cheek just in front of
Chvostek's sign? (You will find hot spots to the ear and below the
select in the artwork below. Select only the zy- gomatic arch. The
hot spot that corresponds to your answer.) client who has
hypocalcemia will
display a Chvostek's
sign, which is a twitching
7. A nurse in an emergency department is of the facial muscle.
assessing a client who is overusing prescribed
Low urine specific gravity
diuretics and has a sodium level of 127 mEq/L.
Which of the following laboratory findings
should the nurse expect?

8. A home health nurse is assisting a client with planning Review the
daily schedule
care for a family member who has Alzheimer's disease. with the client
every morn-
Which of the following instructions should the ing.
nurse include?

9. A nurse is caring for a client who has developed acute Refractory
hypoxemia
respiratory distress syndrome (ARDS). Which
of the following findings should the nurse identify
as a man- ifestation of this syndrome?

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