lOMoARcPSD|17222949
RN VATI Adult Medical Surgical 2019 .docx.docx
Capstone Course (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by Nelson Awino ()
, lOMoARcPSD|17222949
*****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
.
Downloaded by Nelson Awino ()
, lOMoARcPSD|17222949
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
Downloaded by Nelson Awino ()
RN VATI Adult Medical Surgical 2019 .docx.docx
Capstone Course (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by Nelson Awino ()
, lOMoARcPSD|17222949
*****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
.
Downloaded by Nelson Awino ()
, lOMoARcPSD|17222949
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
Downloaded by Nelson Awino ()
