RN VATI Adult Medical Surgical 2021
17 17 17 17
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Question:179017of1790
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A17nurse17is17caring17for17a17client17who17has17atopic17dermatitis17and17a17prescription17for17tria
mcinolone17ointment.17The17nurse17should17assess17the17client17to17monitor17for17which17of17the1
7following17adverse17effects?
Increased17pigmentation
Topical17glucocorticoid17therapy17can17cause17the17adverse17effect17of17hypopigmentation
.17
Localized17hair17loss
Long-
term17glucocorticoid17therapy17can17cause17hypertrichosis,17or17excessive17hair17growth,1
7especially17on17the17facial17area.
Thinning17of17the17skin
MY 17 ANSWER
Thinning17of17the17skin17and17delayed17healing17are17adverse17effects17of17topical17glucoc
orticoid17preparations.17The17client17should17only17apply17the17ointment17to17dry17patche
s17of17the17skin17because17topical17steroids17can17cause17atrophy17of17the17dermis17and17
epidermis,17which17can17result17in17thinning17of17the17skin.17
Increased17sensitivity17to17the17sun
The17nurse17should17instruct17the17client17to17avoid17excessive17sun17exposure17when17ta
king17topical17fluticasone;17however,17triamcinolone17ointment17does17not17cause17photos
ensitivity.
,
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Question:178917of1790
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A17nurse17is17assessing17a17client17who17has17left-
sided17heart17failure.17Which17of17the17following17findings17should17the17nurse17identify17as17a1
7manifestation17of17left-sided17heart17failure?
Dependent17edema
The17nurse17should17identify17that17dependent17edema17is17a17manifestation17of17right-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Jugular17distention
The17nurse17should17identify17that17jugular17vein17distention17is17a17manifestation17of17ri
ght-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Weight17gain
The17nurse17should17identify17that17weight17gain17is17a17manifestation17of17right-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Frothy17sputum
MY 17 ANSWER
The17nurse17should17identify17that17frothy17sputum,17dyspnea,17and17wheezing17are17man
ifestations17of17left-
sided17heart17failure.17Treatment17includes17fluid17restriction17and17diuretics17to17decrea
, se17preload17and17reduce17pulmonary17congestion.17Pink-
tinged17frothy17sputum17can17be17an17early17indication17of17pulmonary17edema17and17can
17be17life-
threatening.17Therefore,17the17nurse17should17notify17the17provider17immediately.
RN17VATI17Adult17Medical17Surgical172019
17CLOSE
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Que stion 88 loade d rationa ls provide d
Question:178817of1790
CORRECT
Time17Remaining:1700:37:30
Pause17Remaining:1700:05:00
PAUSE
FLAG
A17nurse17is17caring17for17a17client17who17is17experiencing17anxiety17as17well17as17numbness17a
nd17tingling17of17the17lips17and17fingers.17The17client's17ABGs17are:17pH177.48,17PCO2173017mm17
Hg,17HCO3-172417mEq/L,17PaO2178517mm17Hg.17Which17of17the17following17acid-
base17imbalances17should17the17nurse17identify17that17the17client17is17experiencing?
Respiratory17alkalosis
MY 17 ANSWER
This17pH17is17alkaline17(increased)17and17the17PCO 17is17decreased,17representing17alveola
2
r17hyperventilation17and17resultant17respiratory17alkalosis.
Respiratory17acidosis
This17pH17is17alkaline17(increased)17and17the17PCO 17is17decreased.17A17decreased17pH17a
2
nd17an17increased17PCO 17indicate17respiratory17acidosis.17 2
Metabolic17alkalosis
This17HCO 3-
172417mEq/L17is17within17the17expected17range17of172117to172817mEq/L17and17the17pH17is
17alkaline17(increased).17An17increased17pH17and17HCO3-17indicate17metabolic17alkalosis.
Metabolic17acidosis
This17HCO 3-
172417mEq/L17is17within17the17expected17range17of172117to172817mEq/L17and17the17pH17is
17alkaline17(increased).17A17decreased17pH17and17HCO 17indicate17metabolic17acidosis.
3-
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Question:178717of1790
CORRECT
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A17nurse17is17assessing17a17client17who17has17Cushing's17syndrome.17Which17of17the17following1
7findings17should17the17nurse17expect?
Vitiligo
Vitiligo17is17the17loss17of17pigment17from17areas17of17a17client's17skin,17causing17irregular,
17white17patches.17Vitiligo17is17a17manifestation17of17adrenal-gland17hypofunction.
Osteoporosis
MY 17 ANSWER
Osteoporosis17is17a17common17finding17with17Cushing's17syndrome.17Bones17become17thi
nner17as17a17result17of17mineral17loss17and17nitrogen17depletion,17and17the17risk17for17fra
ctures17increases.
Myxedema
A17client17who17has17hypothyroidism17can17develop17myxedema17that17causes17mucinous
17cellular17edema17around17the17eyes,17across17the17upper17back,17and17in17the17hands17a
nd17feet.17
Heat17intolerance
A17client17who17has17hyperthyroidism17can17develop17heat17intolerance,17along17with17an
17increase17in17sweating.
RN17VATI17Adult17Medical17Surgical172019
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Question:178617of1790
RN VATI Adult Medical Surgical 2021
17 17 17 17
Que stion 90 loade d rationa ls provide d
Question:179017of1790
CORRECT
Time17Remaining:1700:38:42
Pause17Remaining:1700:05:00
PAUSE
FLAG
A17nurse17is17caring17for17a17client17who17has17atopic17dermatitis17and17a17prescription17for17tria
mcinolone17ointment.17The17nurse17should17assess17the17client17to17monitor17for17which17of17the1
7following17adverse17effects?
Increased17pigmentation
Topical17glucocorticoid17therapy17can17cause17the17adverse17effect17of17hypopigmentation
.17
Localized17hair17loss
Long-
term17glucocorticoid17therapy17can17cause17hypertrichosis,17or17excessive17hair17growth,1
7especially17on17the17facial17area.
Thinning17of17the17skin
MY 17 ANSWER
Thinning17of17the17skin17and17delayed17healing17are17adverse17effects17of17topical17glucoc
orticoid17preparations.17The17client17should17only17apply17the17ointment17to17dry17patche
s17of17the17skin17because17topical17steroids17can17cause17atrophy17of17the17dermis17and17
epidermis,17which17can17result17in17thinning17of17the17skin.17
Increased17sensitivity17to17the17sun
The17nurse17should17instruct17the17client17to17avoid17excessive17sun17exposure17when17ta
king17topical17fluticasone;17however,17triamcinolone17ointment17does17not17cause17photos
ensitivity.
,
RN17VATI17Adult17Medical17Surgical172019
17CLOSE
17 17 17 17
Que stion 89 loade d rationa ls provide d
Question:178917of1790
CORRECT
Time17Remaining:1700:37:45
Pause17Remaining:1700:05:00
PAUSE
FLAG
A17nurse17is17assessing17a17client17who17has17left-
sided17heart17failure.17Which17of17the17following17findings17should17the17nurse17identify17as17a1
7manifestation17of17left-sided17heart17failure?
Dependent17edema
The17nurse17should17identify17that17dependent17edema17is17a17manifestation17of17right-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Jugular17distention
The17nurse17should17identify17that17jugular17vein17distention17is17a17manifestation17of17ri
ght-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Weight17gain
The17nurse17should17identify17that17weight17gain17is17a17manifestation17of17right-
sided17heart17failure17due17to17right17ventricular17failure17and17fluid17retention17from17pr
essure17building17up17in17the17venous17system.
Frothy17sputum
MY 17 ANSWER
The17nurse17should17identify17that17frothy17sputum,17dyspnea,17and17wheezing17are17man
ifestations17of17left-
sided17heart17failure.17Treatment17includes17fluid17restriction17and17diuretics17to17decrea
, se17preload17and17reduce17pulmonary17congestion.17Pink-
tinged17frothy17sputum17can17be17an17early17indication17of17pulmonary17edema17and17can
17be17life-
threatening.17Therefore,17the17nurse17should17notify17the17provider17immediately.
RN17VATI17Adult17Medical17Surgical172019
17CLOSE
17 17 17 17
Que stion 88 loade d rationa ls provide d
Question:178817of1790
CORRECT
Time17Remaining:1700:37:30
Pause17Remaining:1700:05:00
PAUSE
FLAG
A17nurse17is17caring17for17a17client17who17is17experiencing17anxiety17as17well17as17numbness17a
nd17tingling17of17the17lips17and17fingers.17The17client's17ABGs17are:17pH177.48,17PCO2173017mm17
Hg,17HCO3-172417mEq/L,17PaO2178517mm17Hg.17Which17of17the17following17acid-
base17imbalances17should17the17nurse17identify17that17the17client17is17experiencing?
Respiratory17alkalosis
MY 17 ANSWER
This17pH17is17alkaline17(increased)17and17the17PCO 17is17decreased,17representing17alveola
2
r17hyperventilation17and17resultant17respiratory17alkalosis.
Respiratory17acidosis
This17pH17is17alkaline17(increased)17and17the17PCO 17is17decreased.17A17decreased17pH17a
2
nd17an17increased17PCO 17indicate17respiratory17acidosis.17 2
Metabolic17alkalosis
This17HCO 3-
172417mEq/L17is17within17the17expected17range17of172117to172817mEq/L17and17the17pH17is
17alkaline17(increased).17An17increased17pH17and17HCO3-17indicate17metabolic17alkalosis.
Metabolic17acidosis
This17HCO 3-
172417mEq/L17is17within17the17expected17range17of172117to172817mEq/L17and17the17pH17is
17alkaline17(increased).17A17decreased17pH17and17HCO 17indicate17metabolic17acidosis.
3-
RN17VATI17Adult17Medical17Surgical172019
, 17CLOSE
17 17 17 17
Que stion 87 loade d rationa ls provide d
Question:178717of1790
CORRECT
Time17Remaining:1700:37:22
Pause17Remaining:1700:05:00
PAUSE
FLAG
A17nurse17is17assessing17a17client17who17has17Cushing's17syndrome.17Which17of17the17following1
7findings17should17the17nurse17expect?
Vitiligo
Vitiligo17is17the17loss17of17pigment17from17areas17of17a17client's17skin,17causing17irregular,
17white17patches.17Vitiligo17is17a17manifestation17of17adrenal-gland17hypofunction.
Osteoporosis
MY 17 ANSWER
Osteoporosis17is17a17common17finding17with17Cushing's17syndrome.17Bones17become17thi
nner17as17a17result17of17mineral17loss17and17nitrogen17depletion,17and17the17risk17for17fra
ctures17increases.
Myxedema
A17client17who17has17hypothyroidism17can17develop17myxedema17that17causes17mucinous
17cellular17edema17around17the17eyes,17across17the17upper17back,17and17in17the17hands17a
nd17feet.17
Heat17intolerance
A17client17who17has17hyperthyroidism17can17develop17heat17intolerance,17along17with17an
17increase17in17sweating.
RN17VATI17Adult17Medical17Surgical172019
17CLOSE
17 17 17 17
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Question:178617of1790
