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
Localized hair loss
Thinning of the skin
Increased sensitivity to the sun
The Correct Answer is C
Rationale:
A. Increased pigmentation: Triamcinolone, a topical corticosteroid, is not known to cause increased skin pigmentation. In some cases, prolonged use can lead to hypopigmentation, especially in clients with darker skin tones.
B. Localized hair loss: Hair loss is not commonly associated with triamcinolone use. In fact, some corticosteroids may lead to localized hair growth due to their effects on the skin and follicles.
C. Thinning of the skin: Prolonged use of topical corticosteroids like triamcinolone can lead to skin atrophy. This manifests as thinning of the skin, increased fragility, and a higher risk of bruising or tearing with minimal trauma.
D. Increased sensitivity to the sun: Photosensitivity is not a typical side effect of triamcinolone. Sun protection is generally recommended for healthy skin care, but triamcinolone does not specifically increase sun sensitivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Close the pinch clamp on the CVC: Clamping the catheter is important to stop further air entry, but placing the client in the proper position takes priority to trap the air and prevent it from reaching the pulmonary circulation.
B. Obtain a prescription for stat ABGs: ABGs may help assess respiratory compromise, but they are not the immediate action. This diagnostic step should follow emergency interventions that prevent further complications from an air embolism.
C. Place the client in left Trendelenburg position: This is the priority action because it helps trap any air in the right atrium and prevents it from entering the pulmonary arteries, reducing the risk of a fatal air embolism. Positioning the client correctly is a critical first step in managing suspected air embolism.
D. Check the tubing for placement of a locking adaptor: Verifying equipment setup is important for preventing future incidents, but it does not address the client’s current critical condition. Immediate positioning takes precedence.
Correct Answer is D
Explanation
Rationale:
A. Prominent P waves: Hyperkalemia typically causes a decrease in P wave amplitude and can eventually lead to their disappearance, rather than making them more prominent. Prominent P waves are not characteristic of elevated potassium levels.
B. Narrowed QRS complexes: Hyperkalemia often leads to a widening, not narrowing, of the QRS complex as potassium levels rise. A narrowed QRS complex is not a hallmark finding in clients with elevated potassium.
C. Shortened PR intervals: Hyperkalemia is more commonly associated with prolonged PR intervals. A shortened PR interval is not typically seen in potassium imbalance and would be more relevant in other conduction abnormalities.
D. Peaked T waves: Tall, peaked T waves are the classic early ECG finding in hyperkalemia. They result from increased potassium altering myocardial repolarization and are often the first electrocardiographic sign of elevated serum potassium.
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