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
delayed healing
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 because topical steroids can cause
atrophy of the dermis and epidermis, which can result in 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
MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and
wheezing are manifestations of left-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.
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
M A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
should the nurse expect?
Osteoporosis
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