ATI Med Surge Final Exam Graded A

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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? - Thin... ning of the skin. Only apply the ointment to dry patches of the skin to avoid atrophy. Topical Glucocorticoids Side effects - Triamcinolone - Hypopigmentation - Excessive hair growth (hypertrichosis) - Thinning of the skin 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? - Frothy sputum 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. Left Sided Heart Failure - - Frothy sputum - Dyspnea - Wheezing Treatment: Fluid restriction & diuretics to decrease preload & pulmonary congestion Right heart sided failure - - Dependent edma - Jugular distention - Weight gain A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is experiencing? - Respiratory alkalosis - The pH is alkaline - PCO2 is low representing alveolar hyperventilation & respiratory alkalosis A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect? - Osteoporosis Bone become thinner as a result of mineral loss & nitrogen depletion. 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 pearly, waxy nodule. - Basal cell carcinoma has a nodular lesion with well defined borders & pearly or waxy apperance from ocerexposure to the sun. Melanoma - Irregular border and varigated colored lesions of red, white, blue. - Most often on the upper back or lower legs Squamous cell carcinoma - Firm, nodular, and crusty lesion with an ulcerated center from sun exposure, chronic irritation, burns, or irradiation to the skin. weeping vescile - Herpes Zoster - Weeping, blister type lesions. A nurse in an emergency department is assessing a client who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse expect? - LOW URINE SPECFIC GRAVITY. Hyponatremia - - Low specific gravity - Elevated hemoglobin A home health nurse is assisting a client with planning care for a family member who has Alzheimer's disease. Which of the following instructions should the nurse include? - Remove clutter from rooms and hallways - This allows the client is able to walk without the risk of falling or tripping over objects. Later in the disease, the client can experience seizures, so cluttered areas could be a risk to the client Alzheimer's interventions - - Single date calender - Redirect the client by starting another activity - Use short, simple senteces when explaining an activity - Explanation should be done immediately before an activity A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse identify as a manifestation of this syndrome? - REFRACTORY HYPOXEMIA [Show More]

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