RN VATI Adult Medical Surgical 2019;Mohave Community College - MED SURG 450 RN VATI Adult Medical Surgical 2019

Document Content and Description Below

RN VATI Adult Medical Surgical 2019;Mohave Community College - MED SURG 450 RN VATI Adult Medical Surgical 2019  RNVATIAdult Medical Surgical 2019 CLOSE Qu e st i o n 9 0 lo ad e drat i on a ls... p r o v i d e d Question: 90 of 90 CORRECT FLAG  Time Remaining: 00:38:42  Pause Remaining: 00:05:00 PAUSE A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinoloneointment. 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 MY A NSWER 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 becausetopical steroids can cause atrophy of the dermis and epidermis, which can result in thinning of the skin. 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.  RNVATIAdult Medical Surgical 2019 CLOSE Qu e st i o n 8 9 lo ad e drat i on a ls p r o v i d e d Question: 89 of 90 CORRECT  Time Remaining: 00:37:45 FLAG  Pause Remaining: 00:05:00 PAUSE A nurse is assessing a client who hasleft-sided heart failure. Which of the following findingsishould 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 thevenous system. Jugulardistention 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 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. MY A NSWER The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations ofleft-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.  RNVATIAdult Medical Surgical 2019 Qu e Cstion i88 Lilo ad e iOdrat i o n als i pr o vSid e id E Question: 88 of 90 CORRECT Frothysputum FLAG  Time Remaining: 00:37:30  Pause Remaining: 00:05:00 PAUSE A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of thelips and fingers. The client's ABGs are: pH7.48, PCO2 30 mm Hg, HCO3 - 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nurse identify thatthe client is experiencing? MY A NSWER This pH is alkaline (increased) and the PCO2 is decreased, representing alveolar hyperventilation and resultant respiratory alkalosis. Respiratory acidosis This pH is alkaline (increased) and the PCO2 is decreased. A decreased pH and an increased PCO2 indicate respiratory acidosis. Metabolic alkalosis This HCO3 - 24 mEq/L iswithin the expected range of 21 to 28 mEq/L and the pH is alkaline (increased). An increased pH andHCO3 - indicate metabolic alkalosis. Metabolicacidosis This HCO3 - 24 mEq/L iswithin the expected range of 21 to 28 mEq/L and the pH is alkaline (increased). A decreased pH and HCO3 - indicate metabolic acidosis.  RNVATIAdult Medical Surgical 2019 CLOSE Qu e st i o n 8 7 lo ad e drat i on a ls p r o v i d e d Question: 87 of 90 CORRECT FLAG  Time Remaining: 00:37:22  Pause Remaining: 00:05:00 PAUSE A nurse is assessing a client who has Cushing'ssyndrome. Which of the following findingsishould the nurse expect? Vitiligo Respiratoryialkalosis 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. MY A NSWER Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as aresult of mineral loss and nitrogen depletion, and the risk for fractures increases. Myxedema A client who has hypothyroidism can develop myxedema that causes mucinous cellularedema around the eyes, across the upper back, and in the hands and feet. Heatintolerance A client who has hyperthyroidism can develop heat intolerance, along with an increase insweating.  RNVATIAdult Medical Surgical 2019 CLOSE Qu e st i o n 8 6 lo ad e drat i on a ls p r o v i d e d Question: 86 of 90 CORRECT FLAG  Time Remaining: 00:37:13  Pause Remaining: 00:05:00 PAUSE A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identifywhich of thefollowing lesion characteristics on the client's skin? MY A NSWER A client who has basal cell carcinoma has a nodular lesion with well-defined borders and a pearly or waxy appearance, resulting from overexposure to the sun, especially on the face,head, and neck. An irregular border on a variegated-colored lesion Aipearly,iwaxyinodule Osteoporosis A client who has melanoma has a lesion with irregular borders and variegated colors ofred, white, and blue, most often on the upper back or lower legs. Afirm,nodular, crusty, or ulcerated lesion A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion with anulcerated center, resulting from sun exposure, chronic irritation, burns, or irradiation tothe skin. A weeping vesicle Aclient who has herpes zoster hasweeping, blister-type lesions.  RNVATIAdult Medical Surgical 2019 CLOSE Qu e st i o n 8 5 lo ad e drat i on a ls p r o v i d e d Question: 85 of 90 CORRECT FLAG  Time Remaining: 00:37:02  Pause Remaining: 00:05:00 PAUSE A nurse is assessing a client who has hypocalcemia. In which ofthe following areasshould the nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spotsto selectin the artworkbelow. Select only thehotspotthat correspondsto 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 atwitching ofthe facial muscle. B is incorrect. The nurse should apply upward pressure at the supraorbital ridge, belowthe 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, orgrinding of the teeth. With palpation, the nurse might feel a click, pop, or grating sensationiwhen the client opens or closes the jaw. [Show More]

Last updated: 2 years ago

Preview 1 out of 90 pages