RN VATI Adult Medical Surgical (answered)2023
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?
A nurse is assessing a client who has left-sided heart fa...
a nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment the nurse should assess the c
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New York University College Of Nursing
RN VATI Adult Medical Surgical (NURSING2060)
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RN VATI Adult Medical Surgical (answered)2021
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?
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?
Frothy sputum
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
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Osteoporosis
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
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.
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?
Low urine specific gravity A home health nurse is assisting a client with planning care for a family member who has Alzheimer's disease. Which of the following instructions should the nurse include?
Review the daily schedule with the client every morning.
A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse identify as a manifestation of this syndrome?
Refractory hypoxemia
An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of the following findings should indicate to the nurse that the client is experiencing status asthmaticus?
Use of accessory muscles
A nurse is teaching a client who has a new prescription for phenytoin to treat a seizure disorder. Which of
the following adverse effects should the nurse instruct the client to report immediately to the provider?
Skin rash
A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery?
Clear drainage on the dressings
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse identify as a manifestation of right-sided heart failure?
Increased abdominal girth
A nurse is caring for a client who recently assumed the role of caregiver for their aging parents who have chronic illnesses. The nurse should identify that which of the following statements by the client indicates acceptance of the role change? "I changed the floor plan of our home to accommodate my father's wheelchair."
A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy for methicillin-
resistant Staphylococcus aureus (MRSA). Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the medication?
The client is becoming flushed.
A nurse is caring for a male client who has a new prescription for cyclosporine following a kidney transplant. Which of the following findings should the nurse identify as an adverse effect of this therapy?
BUN 24 MG DL
A nurse is caring for a client who has dumping syndrome following a gastric resection. The nurse should monitor the client for which of the following complications of dumping syndrome?
Iron-deficiency anemia
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the following findings should indicate to the nurse that the medication has been effective?
The client's daily peak expiratory flow (PEF) measures 85% above personal best.
A nurse is providing teaching about health promotion activities for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
"I will check my blood sugar level before exercising."
A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply.)
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