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RN_Adult_Medical_Surgical_2019 (1)
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- University Of South Africa (Unisa)
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialRN Adult Medical Surgical 2019 i i i i
RN iVATI iAdult iMedical iSurgical i2019
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stion 90 loade d rationals provide d
Question: 90 of 90 i i i
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A inurse iis icaring ifor ia iclient iwho ihas iatopic idermatitis iand ia iprescription ifor itriamcinolone
io intment. iThe inurse i should iassess ithe iclient ito imonitor ifor iwhich iof ithe i following iadverse
ieffects?
Increased ipigmentation
Topical iglucocorticoid itherapy ican icause ithe iadverse ieffect iof ihypopigmentation.
Localized ihair iloss
Long-term iglucocorticoid itherapy ican icause ihypertrichosis, ior iexcessive ihair igrowth,
especially ion ithe ifacial iarea.
i
Thinning of the skin
MY i A NSWER
Thinning iof ithe iskin iand idelayed ihealing iare iadverse ieffects iof itopical iglucocorticoid
ipreparations. iThe iclient ishould ionly iapply ithe iointment ito idry ipatches iof ithe iskin ibecause
itopical isteroids ican icause iatrophy iof ithe idermis iand iepidermis, iwhich ican iresult iin
ithinning iof ithe iskin.
Increased isensitivity ito ithe isun
The inurse ishould iinstruct ithe iclient ito iavoid iexcessive isun iexposure iwhen itaking itopical
ifluticasone; ihowever, itriamcinolone iointment idoes inot icause iphotosensitivity.
RN iVATI iAdult iMedical iSurgical i2019
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Question: 89 of 90 i i i
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A inurse iis iassessing ia iclient iwho ihas ileft-sided iheart ifailure. iWhich iof ithe ifollowing ifindings
ishould ithe inurse iidentify ias ia imanifestation iof ileft-sided iheart ifailure?
Dependent iedema
The inurse ishould iidentify ithat idependent iedema iis ia imanifestation iof iright-sided iheart
ifailure idue ito iright iventricular ifailure iand ifluid iretention ifrom ipressure ibuilding iup iin ithe
ivenous isystem.
Jugular idistention
The inurse ishould iidentify ithat ijugular ivein idistention iis ia imanifestation iof iright-sided iheart
ifailure idue ito iright iventricular ifailure iand ifluid iretention ifrom ipressure ibuilding iup iin ithe
ivenous isystem.
Weight igain
The inurse ishould iidentify ithat iweight igain iis ia imanifestation iof iright-sided iheart ifailure
idue ito iright iventricular ifailure iand ifluid iretention ifrom ipressure ibuilding iup iin ithe ivenous
isystem.
Frothy sputum
MY i A NSWER
The inurse ishould iidentify ithat ifrothy isputum, idyspnea, iand iwheezing iare imanifestations iof
left-sided iheart ifailure. iTreatment iincludes ifluid irestriction iand idiuretics ito idecrease
i
ipreload iand ireduce ipulmonary icongestion. iPink-tinged ifrothy isputum ican ibe ian iearly
iindication iof ipulmonary iedema iand ican ibe ilife-threatening. iTherefore, ithe inurse ishould
inotify ithe iprovider iimmediately.
RN iVATI iAdult iMedical iSurgical i2019
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Question: 88 of 90 i i i
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Time iRemaining: i00:37:30
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A inurse iis icaring ifor ia iclient iwho iis iexperiencing ianxiety ias iwell ias inumbness iand itingling iof ithe
ilips iand ifingers. iThe iclient's iABGs iare: ipH i7.48, iPCO2 i i 30 imm iHg, iHCO3- i i i24 imEq/L, iPaO2 i i 85 imm
iHg. iWhich iof ithe ifollowing iacid-base iimbalances ishould ithe inurse iidentify ithat ithe iclient iis
iexperiencing?
Respiratory alkalosis
MY i A NSWER
This ipH iis ialkaline i(increased) iand ithe iPCO i i iis idecreased, irepresenting ialveolar 2
ihyperventilation iand iresultant irespiratory ialkalosis.
Respiratory iacidosis
This ipH iis ialkaline i(increased) iand ithe iPCO i i iis idecreased. iA idecreased ipH iand ian iincreased
2
iPCO i i iindicate irespiratory iacidosis. 2
Metabolic ialkalosis
This iHCO i i i24 imEq/L iis iwithin ithe iexpected irange iof i21 ito i28 imEq/L iand ithe ipH iis ialkaline
3-
i(increased). iAn iincreased ipH iand iHCO i i iindicate imetabolic ialkalosis. 3-
Metabolic iacidosis
This iHCO i i i24 imEq/L iis iwithin ithe iexpected irange iof i21 ito i28 imEq/L iand ithe ipH iis ialkaline
3-
i(increased). iA idecreased ipH iand iHCO i i iindicate imetabolic iacidosis. 3-
RN iVATI iAdult iMedical iSurgical i2019
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A inurse iis iassessing ia iclient iwho ihas iCushing's isyndrome. iWhich iof ithe ifollowing ifindings
ishould ithe inurse iexpect?
Vitiligo
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Vitiligo iis ithe iloss iof ipigment ifrom iareas iof ia iclient's iskin, icausing iirregular, iwhite ipatches.
iVitiligo iis ia imanifestation iof iadrenal-gland ihypofunction.
Osteoporosis
MY i A NSWER
Osteoporosis iis ia icommon ifinding iwith iCushing's isyndrome. iBones ibecome ithinner ias ia
iresult iof imineral iloss iand initrogen idepletion, iand ithe irisk ifor ifractures iincreases.
Myxedema
A iclient iwho ihas ihypothyroidism ican idevelop imyxedema ithat icauses imucinous icellular
iedema iaround ithe ieyes, iacross ithe iupper iback, iand iin ithe ihands iand ifeet.
Heat iintolerance
A iclient iwho ihas ihyperthyroidism ican idevelop iheat iintolerance, ialong iwith ian iincrease iin
sweating.
i
RN iVATI iAdult iMedical iSurgical i2019
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A inurse iis iinspecting ithe iskin iof ia iclient iwho ihas ibasal icell icarcinoma. iThe inurse ishould iidentify
iwhich iof ithe ifollowing ilesion icharacteristics ion ithe iclient's i skin?
A pearly, waxy nodule
MY i A NSWER
A iclient iwho ihas ibasal icell icarcinoma ihas ia inodular ilesion iwith iwell-defined iborders iand ia
ipearly ior iwaxy iappearance, iresulting ifrom ioverexposure ito ithe isun, iespecially ion ithe iface,
ihead, iand ineck.
An iirregular iborder ion ia ivariegated-colored ilesion
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