COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
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RN VATI Adult Medical Surgical 2019
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Q ue stion 90 loade d rationals provi de d
Question: 90 of 90
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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 iof ithe iskin
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.
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RN VATI Adult Medical Surgical 2019
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Q ue stion 89 loade d rationals provi de d
Question: 89 of 90
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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
A client who has hyperthyroidism can develop heat intolerance, along with an increase in
sweating.
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RN VATI Adult Medical Surgical 2019
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Q ue stion 86 loade d rationals provi de d
Question: 86 of 90
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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?
A ipearly, iwaxy inodule
MY ANSWER
A client who has basal cell carcinoma has a nodular lesion with well-defined borders and a
pearly or waxy appearance, resulting from overexposure to the sun, especially on the face,
head, and neck.
An irregular border on a variegated-colored lesion
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