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Exam (elaborations)

RN Adult Medical Surgical 2019

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Uploaded on
January 29, 2022
Number of pages
91
Written in
2021/2022
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Exam (elaborations)
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RN Adult Medical Surgical 2019
ii ii ii ii




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
RN iiVATI iiAdult iiMedical iiSurgical
ii2019

CLOSE
Que ii ii ii ii ii ii ii
stion 90 loade d rationals provide d




Question: 90 of 90 ii ii ii

CORRECT  Time iiRemaining: ii00:38:42
 Pause iiRemaining: ii00:05:00
PAUSE

FLAG
A iinurse iiis iicaring iifor iia iiclient iiwho iihas iiatopic iidermatitis iiand iia iiprescription iifor
iitriamcinoloneio intment. iiThe iinurse iishould iiassess iithe iiclient iito iimonitor iifor iiwhich iiof iithe

iifollowing iiadverse iieffects?




Increased iipigmentation

Topical iiglucocorticoid iitherapy iican iicause iithe iiadverse iieffect iiof iihypopigmentation.

Localized iihair iiloss

Long-term iiglucocorticoid iitherapy iican iicause iihypertrichosis, iior iiexcessive iihair
iigrowth,iespecially iion iithe iifacial iiarea.




Thinning of the skin
MY ii A NSWER




Thinning iiof iithe iiskin iiand iidelayed iihealing iiare iiadverse iieffects iiof iitopical iiglucocorticoid
iipreparations. iiThe iiclient iishould iionly iiapply iithe iiointment iito iidry iipatches iiof iithe iiskin


iibecauseitopical iisteroids iican iicause iiatrophy iiof iithe iidermis iiand iiepidermis, iiwhich iican


ii result iiin iithinning iiof iithe iiskin.

Increased iisensitivity iito iithe iisun

The iinurse iishould iiinstruct iithe iiclient iito iiavoid iiexcessive iisun iiexposure iiwhen iitaking
ii topicalfi luticasone; iihowever, iitriamcinolone iiointment iidoes iinot iicause iiphotosensitivity.


RN iiVATI iiAdult iiMedical iiSurgical ii2019
CLOSE
Que ii ii ii ii ii ii ii
stion 89 loade d rationals provide d




Question: 89 of 90 ii ii ii


CORRECT
 Time iiRemaining: ii00:37:45




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 Pause iiRemaining: ii00:05:00
PAUSE
FLAG
A iinurse iiis iiassessing iia iiclient iiwho iihas iileft-sided iiheart iifailure. iiWhich iiof iithe iifollowing
iifindings ishould iithe iinurse ii identify iias iia iimanifestation iiof iileft-sided iiheart iifailure?




Dependent iiedema

The iinurse iishould iiidentify iithat iidependent iiedema iiis iia iimanifestation iiof iiright-sided iiheart
iifailure iidue iito iiright iiventricular iifailure iiand iifluid iiretention iifrom iipressure iibuilding iiup iiin


iitheivenous iisystem.




Jugular iidistention

The iinurse iishould iiidentify iithat iijugular iivein iidistention iiis iia iimanifestation iiof iiright-sided
iiheartf i ailure iidue iito iiright iiventricular iifailure iiand iifluid iiretention iifrom iipressure iibuilding


iiup iiin iithe iivenous iisystem.




Weight iigain

The iinurse iishould iiidentify iithat iiweight iigain iiis iia iimanifestation iiof iiright-sided iiheart
iifailure iidue iito iiright iiventricular iifailure iiand iifluid iiretention iifrom iipressure iibuilding iiup iiin


iithe iivenousisystem.




Frothy sputum
MY ii A NSWER




The iinurse iishould iiidentify iithat iifrothy iisputum, iidyspnea, iiand iiwheezing iiare
iimanifestations iiofli eft-sided iiheart iifailure. iiTreatment iiincludes iifluid iirestriction iiand
iidiuretics iito iidecrease iipreload iiand iireduce iipulmonary iicongestion. iiPink-tinged iifrothy


iisputum iican iibe iian iiearly iiindication iiof iipulmonary iiedema iiand iican iibe iilife-threatening.


iiTherefore, iithe iinurse iishould iinotify iithe iiprovider iiimmediately.





RN iiVATI iiAdult iiMedical iiSurgical ii2019
CLOSE
Que ii ii ii ii ii ii ii
stion 88 loade d rationals provide d




Question: 88 of 90 ii ii ii


CORRECT




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 Time iiRemaining: ii00:37:30
 Pause iiRemaining: ii00:05:00
PAUSE
FLAG
A iinurse iiis iicaring iifor iia iiclient iiwho iiis iiexperiencing iianxiety iias iiwell iias iinumbness iiand iitingling iiof
iitheilips iiand iifingers. iiThe iiclient's iiABGs iiare: iipH ii7.48, iiPCO2 ii i i 30 iimm iiHg, iiHCO3- ii ii ii24 iimEq/L, iiPaO2 ii


i i 85 iimm iiHg. iiWhich iiof iithe iifollowing iiacid-base iiimbalances iishould iithe iinurse iiidentify iithat iithe

iiclient iiis iiexperiencing?




Respiratory alkalosis
MY ii A NSWER




This iipH iiis iialkaline ii(increased) iiand iithe iiPCO is iidecreased, iirepresenting iialveolar
2 ii ii ii


iihyperventilation iiand iiresultant iirespiratory iialkalosis.
Respiratory iiacidosis
This iipH iiis iialkaline ii(increased) iiand iithe iiPCO ii ii iiis iidecreased. iiA iidecreased iipH iiand iian 2


iiincreased iiPCO ii ii iiindicate iirespiratory iiacidosis. 2


Metabolic iialkalosis
This iiHCO ii ii ii24 iimEq/L iiis iiwithin iithe iiexpected iirange iiof ii21 iito ii28 iimEq/L iiand iithe iipH iiis iialkaline
3-


ii(increased). iiAn iiincreased iipH iiand iiHCO ii ii iiindicate iimetabolic iialkalosis. 3-


Metabolic iiacidosis
This iiHCO ii ii ii24 iimEq/L iiis iiwithin iithe iiexpected iirange iiof ii21 iito ii28 iimEq/L iiand iithe iipH iiis iialkaline
3-


ii(increased). iiA iidecreased iipH iiand iiHCO ii ii iiindicate iimetabolic iiacidosis. 3-





RN iiVATI iiAdult iiMedical iiSurgical
ii2019

CLOSE
Que ii ii ii ii ii ii ii
stion 87 loade d rationals provide d




Question: 87 of 90 ii ii ii


CORRECT  Time iiRemaining: ii00:37:22
 Pause iiRemaining: ii00:05:00
PAUSE

FLAG
A iinurse iiis iiassessing iia iiclient iiwho iihas iiCushing's iisyndrome. iiWhich iiof iithe iifollowing
iifindings ishould iithe iinurse iiexpect?




Vitiligo




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