ATI RN Adult Medical Surgical Proctored

exam -graded 100%-2022

•

RN VATI Adult Medical Surgical 2019

CLOSE

Que s tio n 9 0 lo a d e d r a tio n a ls p r o v id e d

Question: 90 of 90

CORRECT

FLAG

• Time Remaining: 00:38:42

• PauseRemaining: 00:05:00

PAUSE

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

M Y AN SW ER

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

CLOSE

Que s tio n 8 9 lo a d e d r a tio n a ls p r o v id e d

Question: 89 of 90

CORRECT

• TimeRemaining: 00:37:45

FLAG

• PauseRemaining: 00:05:00

PAUSE

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.

M Y AN SW ER

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

CLOSE

Que s tio n 8 8 lo a d e d r a tio n a ls p r o v id e d

Question: 88 of 90

CORRECT