RN VATI Adult Medical Surgical 2019
Question 90 loaded ra tionals p ro vid ed
Question: 90 of 90
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 AN S W 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 resultin thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking topicalfluticasone;
however, triamcinolone ointment does not cause photosensitivity.
•
RN VATI Adult Medical Surgical 2019
QuestionCLOSE 89 loaded ra tionals p ro vid ed
Question: 89 of 90
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 thevenous 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 upin 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 venoussystem.
Frothy sputum
MY AN S W 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 not
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- Level:University
- School:Chamberlain College Of Nursing
- Course:ATI Capstone Med Surg
- Subject:RN VATI Adult Medical Surgical
- All documents for this course ›
- Year of study:2024/2025
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- Section:Examinations
- Made on:05-17-2024
- Type:.pdf
- Pages:46
- Language:English
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