ATI RN Adult Medical Surgical Proctored Exam 2019 B DOWNLOAD TO SCORE OUTSTANDING GRADE A

RNVATI Adult Medical Surgical 2019

CLOSE Q u e sti o n 90 loade drati onals p r o v id 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 ANSWER

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.

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RN VATI Adult Medical Surgical 2019

CLOSE Q u e sti o n 89 loade drati onals p r o v id e d

Question: 89 of 90

CORRECT

• Time Remaining: 00:37:45

Frothysputum

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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 ANSWER

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.

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RNVATI Adult Medical Surgical 2019

Q u e Cst i on i8 8

Lilo a d e iOd ra t i o n a l s ip r o vSid e id

E

Question: 88 of 90

CORRECT

Respiratoryialkalosis

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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 that the client is

experiencing?

MY ANSWER

This pH is alkaline (increased) and the PCO2 is decreased, representingalveolar

hyperventilation and resultant respiratory alkalosis.

Respiratory acidosis

This pH is alkaline (increased) and the PCO2 is decreased. Adecreased pH and an increased

PCO2 indicate respiratory acidosis.

Metabolicalkalosis

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 andHCO3

- indicate metabolic alkalosis.

Metabolicacidosis

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.