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
... [Show More] which of the following adverse
effects?
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.
The nurse should instruct the client to avoid excessive sun exposure when
taking topical fluticasone; however, triamcinolone ointment does not cause
photosensitivity.
The nurse should identify that dependent edema is a manifestation of rightsided heart failure due to right ventricular failure and fluid retention from
pressure building up in the venous system.
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.
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.
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. Pinktinged frothy sputum can be an early indication of pulmonary edema and can
be life-threatening. Therefore, the nurse should notify the provider
immediately.
A nurse is caring for a client who is experiencing anxiety as well as numbness and tngling of the
lips and fngers. 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 identfy that the client is
experiencing?
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 is within the expected range of 21 to 28 mEq/L and the
pH is alkaline (increased). An increased pH and HCO3- indicate metabolic
alkalosis.
Metabolic acidosis
This HCO3- 24 mEq/L is within the expected range of 21 to 28 mEq/L and the
pH is alkaline (increased). A decreased pH and HCO3- indicate metabolic
acidosis.
Vitligo
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
MY ANSWER
Osteoporosis is a common fnding 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.
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