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RN VATI Adult Medical
Surgical 2019
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Que stion 90 loade d rationals provide d
ATI RN A+
Question: 90 of 90
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Time Remaining: 00:38:42
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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?
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 because topical
steroids can cause atrophy of the dermis and epidermis, which
can result in thinning of the skin.
,Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun
exposure when taking topical fluticasone; however,
triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
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Que stion 89 loade d rationals provide d
Question: 89 of 90
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Time Remaining: 00:37:45
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FLA
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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?
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 the venous system.
Jugular distention
The nurse should identify that jugular vein distention is a
manifestation of right-sided heart failure 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 venous system.
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.
,
RN VATI Adult Medical Surgical 2019
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Que stion 88 loade d rationals provide d
Question: 88 of 90
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