ATI Proctored-Medical
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Surgical Exam
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Bank_ Updated 2023
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RN VATI Adult Medical Surgical 2019
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Qu e sti on 90 load e drati onals p r o v di e d
Question: 90 of 90
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Time Remaining: 00:38:42
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A nurse is caring for a client who has atopic dermatitis and a prescription for
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triamcinoloneointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth,especially on the facial area.
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Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
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Thinning of the skin
MY ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
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preparations. The client should only apply the ointment to dry patches of the skin
becausetopical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning of the skin.
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Increased sensitivityto the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topicalfluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
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Qu e sti on 89 load e drati onals p r o v di e d
Question: 89 of 90
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A nurse is assessing a client who has left-sided heart failure. Which of the following
findingssi hould the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided heart
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failure due to right ventricular failure and fluid retention from pressure building up in
thevenous system.
Jugulardistention
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The nurse should identify that jugular vein distention is a manifestation of right-sided
heartfailure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Weight gain
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The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venoussystem.
Frothysputum
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MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations
ofleft-sided heart failure. Treatment includes fluid restriction and diuretics to decrease
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preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be an early
indication of pulmonary edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
RN VATI Adult Medical Surgical 2019
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Qu e st ion 88 lo a d e d rat i o n al s p r o v id e d
Question: 88 of 90
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