VATI Med Surg Exam Questions And Answers 100% Verified

VATI Med Surg Exam Questions And Answers 100% Verified 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. 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. 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 an ulcerated center, resulting from sun exposure, chronic irritation, burns, or irradiation to the skin. 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? - ANS LOW URINE SPECIFIC GRAVITY. -A client who has hyponatremia as a result of diuretic overuse has a low urine specific gravity. The increased excretion of water alters the ratio of particulate matter, which affects the 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? - ANS Remove clutter from rooms and hallways - This allows the client to walk without the risk of falling or tripping over objects. Later in the disease, the client can experience seizures, so cluttered areas could be a risk to the client 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? - ANS REFRACTORY HYPOXEMIA - A client who has ARDS has refractory hypoxemia, which is hypoxemia that does not improve with oxygen therapy. Extensive pulmonary edema evident on a chest x-ray is a manifestation of ARDS. 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 asthmatic status asthmaticus? - ANS USE OF ACCESSORY MUSCLES. - A client who has status asthmaticus uses accessory muscles to help facilitate breathing, which is a manifestation of a severe airflow obstruction. The situation is life-threatening and the nurse should intervene immediately with strong systemic bronchodilators, epinephrine, corticosteroids, and oxygen. 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? - ANS SKIN RASH. - the nurse should determine that the priority finding is a rash, which can have a measles-like appearance and progress to exfoliative dermatitis or Stevens-Johnson syndrome. The client should report this finding to the provider immediately. 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? - ANS CLEAR DRAINAGE OF DRESSINGS - This is an indication of a cerebral spinal leak