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RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass $12.99   Add to cart

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RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass

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  • March 5, 2024
  • 53
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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By: DoctorKen • 2 weeks ago

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RN VATI Adult Medical Surgical Assessment.
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?

(ANS-

Thinning of the skin.

Only apply the ointment to dry patches of the skin to avoid atrophy.



Topical Glucocorticoids Side effects

(ANS-

Tiamcinolone

- Hypopigmentation

- Excessive hair growth (hypertrichosis)

- Thinning of the skin



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?

(ANS- Frothy sputum

,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.



Left Sided Heart Failure

(ANS-

- Frothy sputum

- Dyspnea

- Wheezing

Treatment:

Fluid restriction & diuretics to decrease preload & pulmonary congestion



Right heart sided failure

(ANS-

- Dependent edma

- Jugular distention

- Weight gain

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?

(ANS- Respiratory alkalosis



- The pH is alkaline (increased)

- PCO2 is decreased representing alveolar hyperventilation & resultant respiratory

alkalosis



A nurse is assessing a client who has Cushing's syndrome. Which of the following

findings should the nurse expect?

(ANS- Osteoporosis



Bone become thinner as a result of mineral loss & nitrogen depletion.



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?

(ANS- A pearly, waxy nodule.

, - Basal cell carcinoma has a nodular lesion with well defined borders & pearly or

waxy appearance resulting from overexposure to the sun. especially on the face,

head, and neck.

-A client who has melanoma has a lesion with irregular borders and variegated

colors of red, white, and blue, most often on the upper back or lower legs.

-A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion

with a ulcerated center, resulting from sun exposure, chronic irritation, burns, or

irradiation to the skin.



Melanoma

(ANS-

Irregular border and varigated colored lesions of red, white, blue.

- Most often on the upper back or lower legs



Squamous cell carcinoma

(ANS- Firm, nodular, and crusty lesion with an ulcerated center from sun

exposure, chronic irritation, burns, or irradiation to the skin.



weeping vescile

(ANS- Herpes Zoster

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