VATI Med Surge Assessment Latest 2026/2027 Already Passed (30pages)

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? ✔✔Thinning of the skin. Only apply the ointment to dry patches of the skin to avoid atrophy. Topical Glucocorticoids Side effects ✔✔Tiamcinolone - 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 lifethreatening. 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 (increased) - PCO2 is decreased representing alveolar hyperventilation & resultant 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 appearance resulting from overexposure to the sun. especially on the face, head, and neck. -A client who has melanoma has a lesion with irregular borders and variegated colors of red, white, and blue, most often on the upper back or lower legs. -A client who has squamous cell carcinoma has a firm, nodular, and crusty lesion with a ulcerated center, resulting from sun exposure, chronic irritation, burns, or irradiation to the skin. 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.