RN VATI Adult Medical Surgical 2019

 RN VATI Adult Medical Surgical 2019 CLOSE Questi on 90 l oaded rati onal s provi ded

Question: 90 of 90

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 effect 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

M Y A NSW ER

Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid preparations. The client should only apply the ointment to dry patches of the skin because topical steroids can cause atrophy of the dermis and epidermis, which can result in thinning of the skin.Increased sensitivity to the sun The nurse should instruct the client to avoid excessive sun exposure when taking topical fluticasone; however, triamcinolone ointment does not cause photosensitivity. RN VATI Adult Medical Surgical 2019 CLOSE Questi on 89 l oaded rati onal s provi ded

Question: 89 of 90

A nurse is 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 failure?Dependent edema The nurse should identify that dependent edema is a manifestation of right-sided heart failure due to right ventricular failure and fluid retention from pressure building up in the venous system.Jugular distention

The nurse should identify that jugular vein distention is a manifestation of right-sided heart failure due to right ventricular failure and fluid retention from pressure building up in the venous system.Weight gain 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 venous system.Frothy sputum

M Y A NSW ER

The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations of left-sided heart failure. Treatment includes fluid restriction and diuretics to decrease 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.Questi on 88 l oaded rati onal s provi ded

Question: 88 of 90

A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the lips and

fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3

- 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is experiencing?Respiratory alkalosis Questi on 87 l oaded rati onal s provi ded

Question: 87 of 90

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?Vitiligo Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white patches. Vitiligo is a manifestation of adrenal-gland hypofunction.Osteoporosis

M Y A NSW ER

Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as a result of mineral loss and nitrogen depletion, and the risk for fractures increases.Myxedema

A client who has hypothyroidism can develop myxedema that causes mucinous cellular edema around the eyes, across the upper back, and in the hands and feet.Heat intolerance A client who has hyperthyroidism can develop heat intolerance, along with an increase in sweating.Questi on 86 l oaded rati onal s provi ded

Question: 86 of 90

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 Questi on 85 l oaded rati onal s provi ded

Question: 85 of 90

FLAG 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 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.B is incorrect. The nurse should apply upward pressure at the supraorbital ridge, below the eyebrow, to assess for tenderness and inflammation of the frontal sinuses.C is incorrect. The nurse should palpate the jaw and mastoid muscle of a client who has temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of the teeth. With palpation, the nurse might feel a click, pop, or grating sensation when the client opens or closes the jaw. RN VATI Adult Medical Surgical 2019 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?