RN VATI Adult Medical Surgical 2019;Mohave Community College -
MED SURG 450 RN VATI Adult Medical Surgical 2019
RNVATIAdult Medical Surgical
... [Show More] 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
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Time Remaining: 00:38:42
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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
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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
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Time Remaining: 00:37:30
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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
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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
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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
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Time Remaining: 00:37:02
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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 Less]