RN ADULT MEDICAL SURGICAL RETAKE GRADED A+ (question and answer).pdf

ATIRNVATIADULTMEDICALSURGICAL P
l l l l l l




ROCTORED EXAM 2024 WITH NGN l l l l

AA ll l l l l l l l l
AQue s tion 90 loade d ra tionals pr ovide dAA




Alnurselislcaringlforlalclientlwholhaslatopicldermatitislandlalprescriptionlforltriamcinoloneloint
ment.lThelnurselshouldlassesslthelclientltolmonitorlforlwhichloflthelfollowingladverseleffects?
A



Increasedlpigmentation

Topicallglucocorticoidltherapylcanlcauseltheladverseleffectloflhypopigmentation.lLocalizedlh

airlloss

Long-
termlglucocorticoidltherapylcanlcauselhypertrichosis,lorlexcessivelhairlgrowth,lespeciallylonlthelfa
ciallarea.

Thinningloflthelskin
MY l
ANSWER




Thinningloflthelskinlandldelayedlhealinglareladverseleffectslofltopicallglucocorticoidlpreparations.lT
helclientlshouldlonlylapplylthelointmentltoldrylpatchesloflthelskinlbecause
topicallsteroidslcanlcauselatrophylofltheldermislandlepidermis,lwhichlcanlresultlinlthinningloflthels
kin.

Increasedlsensitivityltolthelsun
Thelnurselshouldlinstructlthelclientltolavoidlexcessivelsunlexposurelwhenltakingltopicallfluticasone;lh
owever,ltriamcinolonelointmentldoeslnotlcauselphotosensitivity.




CORRECT •l TimelRemaining:l00:37:45
• PauselRemaining:l00:05:00
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, l l
lOMoAR cPSD| 24448587




RNlVATIlAdultlMedicallSurgicall2019
CLOSE l l pr o vid e d




FLAG

Alnurselislassessinglalclientlwholhaslleft-
sidedlheartlfailure.lWhichloflthelfollowinglfindingslshouldlthelnurselidentifylaslalmanifestationloflleft
-sidedlheartlfailure?




Dependentledema

Thelnurselshouldlidentifylthatldependentledemalislalmanifestationloflright-
sidedlheartlfailureldueltolrightlventricularlfailurelandlfluidlretentionlfromlpressurelbuildingluplinlthel
venouslsystem.

Jugularldistention

Thelnurselshouldlidentifylthatljugularlveinldistentionlislalmanifestationloflright-
sidedlheartlfailureldueltolrightlventricularlfailurelandlfluidlretentionlfromlpressurelbuildingluplinlth
elvenouslsystem.

Weightlgain

Thelnurselshouldlidentifylthatlweightlgainlislalmanifestationloflright-
sidedlheartlfailureldueltolrightlventricularlfailurelandlfluidlretentionlfromlpressurelbuildingluplinlthel
venouslsystem.

Frothylsputum
MY l
ANSWER




Thelnurselshouldlidentifylthatlfrothylsputum,ldyspnea,landlwheezinglarelmanifestationslof
left-
sidedlheartlfailure.lTreatmentlincludeslfluidlrestrictionlandldiureticsltoldecreaselpreloadlandlred
ucelpulmonarylcongestion.lPink-
tingedlfrothylsputumlcanlbelanlearlylindicationloflpulmonaryledemalandlcanlbellife-
threatening.lTherefore,lthelnurselshouldlnotifylthelproviderlimmediately.




• TimelRemaining:l00:37:30

FLAG •l PauselRemaining:l00:05:00

,
, PAUSE
Alnurselislcaringlforlalclientlwholislexperiencinglanxietylaslwelllaslnumbnesslandltinglingloflthellip
slandlfingers.lThelclient'slABGslare:lpHl7.48,lPCO2l 30lmmlHg,lHCO3-
l 24lmEq/L,lPaO2l 85lmmlHg.lWhichloflthelfollowinglacid-


baselimbalanceslshouldlthelnurselidentifylthatlthelclientlislexperiencing?




Respiratorylalkalosis
MY l
ANSWER




ThislpHlislalkalinel(increased)landlthelPCO l isldecreased,lrepresentinglalveolarlhyperventilati
2



onlandlresultantlrespiratorylalkalosis.
Respiratorylacidosis
ThislpHlislalkalinel(increased)landlthelPCO l isldecreased.lAldecreasedlpHlandlanlincreasedlPCO lindi
2 2



catelrespiratorylacidosis.
Metaboliclalkalosis
ThislHCO 3-



l 24lmEq/Llislwithinlthelexpectedlrangelofl21ltol28lmEq/LlandlthelpHlislalkalinel(increased).lAnlincreas
edlpHlandlHCO l indicatelmetaboliclalkalosis.
3-



Metaboliclacidosis
ThislHCO 3-



l 24lmEq/Llislwithinlthelexpectedlrangelofl21ltol28lmEq/LlandlthelpHlislalkalinel(increased).lAldecrease
dlpHlandlHCO l indicatelmetaboliclacidosis.
3-




CORRECT •l TimelRemaining:l00:37:22
• PauselRemaining:l00:05:00
PAUSE

FLAG


AlnurselislassessinglalclientlwholhaslCushing'slsyndrome.lWhichloflthelfollowinglfindingslshou
ldlthelnurselexpect?