RN VATI Adult Medical Surgical

lOMoARcPSD|17222949




RN VATI Adult Medical Surgical 2019 .docx.docx


Capstone Course (Chamberlain University)




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*****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
MY ANSWER




*****Anurseisas
sessi
ngacl
ientwhohasle
ft-
si
dedhear
tfail
ure
.Whi c
hoft
he
fol
lowi
ngfindi
ngsshoul
dthenurs
eident
if
yasama ni
fes
tat
ionoflef
t-
si
dedhe
artf
ail
ure
?

Fr
oth
ysput
um
MYANSWER




****Anurseiscari
ngforacl
ie
ntwhoise
xpe r
ienci
nganxi
etyaswel
lasnumbnessandti
ngl
ing
ofthel
ipsandfin
gers.Thec
li
ent'
sABGsare:pH7.48,PCO 30mm Hg ,HCO 24mEq/ L, 2 3
-


PaO 85mmHg .Whi
2 choft
hefol
lowi
nga
cid-basei
mbalan
cesshoul
dthenur
seident
if
ythatt
he
cl
ienti
sexper
ienci
ng?


Re
spi
rat
orya
lka
los
is
MYANSWER




****Anursei
sas
ses
sin
gac
li
entwhoha
sCus
hin
g'ss
yndr
ome
.Whi
choft
hef
oll
owi
ngfindi
ngs
shoul
dthenur
see
xpect
?

Os
teopor
osi
s
MYANSWER




****Anur
seisi
nspec
tin
gt heski
nofacli
entwhohasba
salc
ellc
arc
inoma.Thenur
ses
houl
d
ide
nti
fywhi
chofthefol
lowingle
sionc
hara
cte
ris
ti
csont
hecli
ent
'ss
kin?


Ape
arl
y,wa
xynodul
e
MYANSWER




****Anurs
eisas
ses
sin
gac l
ie
ntwhohash ypoc
a l
cemia
.Inwhi c
hofthefol
lowi
nga reasshoul
d
thenur
set
aponthecl
ient
'
sfac
etodet
ectthepre
s e
nceofCh v
ostek'
ssi
gn?(Youwillfindhot
spot
stose
lec
tint
heart
workbel
ow.Se
lectonlythehotspo
tthatcor
res
pondstoyoura nswer
.)


Aiscorr
ect
.Thenurs
es houl
dta
pthecli
ent
'schee
kjusti
nfrontoftheeara
ndbelowthe
z
ygomati
carc
h.Thecli
entwhohashypoca
lcemiawil
ldis
pla
yaCh v
oste
k'ssi
gn,whi
chisa
t
wit
chin
gofthefa
cia
lmus cle
.




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Bisi
ncor
rec
t.Thenurs
eshoul
dappl
yupwar
dpres
sur
eatt
hesupr
aor
bit
alr
idg
e,b
elo
wthe
e
yebr
ow,t
oasse
ssfort
ende
rnes
sandi
nfla
mmati
onoft
hefr
ont
alsi
nus
es.

Ci sincorr
ect.Thenurs
es houldpa lpa
tet
hejawandma s
toi
dmuscleofacli
entwhoha s
temporomandibul
arjoi
ntdy s
function.Thi
scanbecaus
edb ymis
ali
gnedtee
th,art
hrit
is
,or
grindin
goftheteet
h.Withpa l
pa t
ion,thenur
semightf
eelacl
ic
k,pop,orgrat
ingsensa
ti
onwhe
n
thec l
ie
ntopensorcl
osesthejaw.
Bo tt
om ofForm



****Anursei nanemerge
ncydepar
tmentisass
ess
ingacl
ie
ntwhoi
sove
r us
ing
pres
cri
beddi ur
eti
csandhasasodi
umlevelof127mEq/L.Whi
choft
hefoll
owing
la
borat
oryfindin
gsshoul
dthenurs
eexpect?

Lo
wur
ines
pec
ificgr
avi
ty
MYANSWER




***Ahomeh e
alt
hnurs
eisas
sis
ti
ngac l
ie
ntwit
hp l
anni
ngcaref
orafamil
yme mberwhoha
s
Alzhe
imer
'sdi
sea
se.Whic
hofthefol
lowi
ngins
truc
ti
onsshoul
dthenur
seinc
lude
?



Re
vie
wtheda
il
ysc
hedul
ewi
tht
hec
li
ente
ver
ymor
nin
g.



***Anurs
eisca
ringforacl
ie
ntwhohasde
vel
ope
da c
uter
espi
rat
orydis
tre
sssyndrome(ARDS)
.
Whichoft
hefol
lowin
gfindi
ngss
houl
dthenur
sei
dent
ifya
sama nif
est
ati
onofthissyndr
ome
?

Re
fra
ctor
yhypo
xemi
a
MYANSWER




***Aneme r
gencyroom nursei
sa s
ses
singacl
ie
ntwhoha
sas
thmaanddiffic
ult
ybreat
hin
g.
Whichofthefol
lowingfindi
ngsshoul
dindi
cat
etot
henur
set
hatt
hecl
ie
nti sexper
ienc
ingst
atu
s
ast
hmat
icus?

Us
eofa
cce
ssor
ymus
cle
s
MYANSWER




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