PNR 309 Final Exam 2025 – Latest Question and Answers (Answered) Graded A, Exams of Nursing

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PNR 309 Final Exam 2025 – Latest Question and

Answers (Answered) Graded A

What is a characteristic that is common to all hormones? They influence cellular activity of specific target tissues. A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client for signs and symptoms of damage to which of the following organ(s)? Adrenal Glands A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to this situation? Release of ADH All cells in the body are believed to have intracellular receptors for which of the following? Thyroid hormone

When obtaining subjective data from a client during assessment of the endocrine system, the nurse asks specifically about which of the following? Energy level What is appropriate technique to use during physical assessment of the thyroid gland? Have the client swallow water during inspection and palpitation of the gland. Why do endocrine disorders often go unrecognized in older adults? Symptoms are often attributed to aging. A client has a total serum calcium level of 0.75 mmol/L. If this finding reflects hypoparathyroidism, what would the nurse expect further diagnostic testing to reveal? Decrease serum PTH after hypophysectomy for acromegaly, which of the following should be the focus of post-operative Nursing Care? frequent monitoring of serum and urine osmolarity

how does the nurse instruct the client who is taking corticosteroids to control the adverse effects of drug therapy? increase calcium intake to 1500 mg per day what does the nurse teach the client regarding the best time to take corticosteroids for replacement purposes? honour rising and in the late afternoon The nurse is providing instructions to a client regarding a urine study for free cortisol. Which of the following instructions is most important to include? Try to avoid stressful situations during the collection period. Which of the following assessment parameters is of highest priority when caring for a client undergoing a water deprivation test? Weight A client has sought care because of a loss of 12 kg over the past 6 months, during which the client claims to have made no significant dietary changes. Which of the following disorders is a potential cause of the weight loss? Thyroid disorder

The surgeon was unable to save a client's parathyroid gland during a radical thyroidectomy. The nurse should consequently pay particular attention to which of the following components of the client's laboratory values? Calcium levels Which of the following tasks can the nurse delegate to an unregulated care provider (UCP) in the care of a client who has recently undergone prostatectomy? Performing cleansing of the meatus and perineal region The nurse is planning care for a client with disturbed sensory perception related to increased intraocular pressure caused by primary open-angle glaucoma. Which of the following elements should the nurse focus on? Encourage compliance with drug therapy for the glaucoma to prevent loss of vision. Which of the following statements is most appropriate when teaching a client about timolol maleate eye drops in the treatment of glaucoma? "You may have some temporary blurring of vision after instilling these eye drops."

The nurse is caring for a client with glaucoma who has been prescribed timolol maleate eye drops. Which of the following contraindications to the use of this medication should the nurse assess for in the client? COPD The nurse is administering eye drops to an older-adult client with glaucoma. Which of the following actions should the nurse implement? Have the client put pressure on the puncta of the eye after administration. The nurse is administering a scheduled dose of pilocarpine to a client. Which of the following areas should the nurse place the drops? Lower conjunctival sac The nurse is providing care for an older-adult client who has sought care because of a loss in hearing acuity over the past several years. Which of the following statements is most accurate? "Many people experience an age-related decline in their hearing."

During change-of-shift report, the outgoing nurse reports a new finding of petechiae in a newly admitted client with a yet-to-be diagnosed hematological disorder. Which of the following findings would the incoming nurse expect when assessing this client? Tiny, purple spots on the skin The nurse is assessing a client that has arrived at the emergency department presenting with purpura. Which of the following laboratory tests would be most important to assess for this client? Coagulation studies The nurse is preparing a client education session related to sun exposure. Which of the following symptoms is the major contributor to prolonged exposure to UV rays? Photoaging An adolescent female and her mother have presented to their nurse practitioner seeking treatment for the daughter's acne. Which of the following terms would the nurse use to characterize acne? Pustules

Which of the following interventions would be most helpful in managing a client newly admitted with cellulitis of the right foot? Apply warm, moist heat The nurse is caring for a client with an allergic condition of the integumentary system. Which of the following types of medication is most likely to be used to treat this client? Corticosteroid Which of the following assessment findings of an older-adult male client's skin should the nurse prioritize? The presence of an irregularly shaped mole that the client states is new. Which one of the following clients is most likely to have the highest risk of developing malignant melanoma? A fair-skinned woman who uses a tanning booth regularly The nurse should teach a client who is taking which one of the following drugs to avoid prolonged sun exposure? Tetracycline

organisms that cause pyelonephritis most commonly reach the kidneys through which means? ascending infection which of the nurse teach the female client who has frequent urinary tract infections? urinate after sexual intercourse which of the following immunological mechanisms are involved in glomerulo- nephritis deposition of immune complexes in complement along the glomerular basement membrane what is the most important roles of the nurse and relation to acute poststreptococcal glomerulo-nephritis to promote early diagnosis and treatment to sore throat and skin lesions

post-operatively, a client who has had a laser prostatectomy has continuous bladder irrigation with a three-way urinary catheter with a 30 ml balloon. When he complains of bladder spasms with the catheter in place, what should the nurse do? explain that this feeling is normal and that he should not try to urinate around the catheter factors that plays a client at higher risk for prostate cancer? older than 65 years old and father diagnosed and treated for early-stage prostate cancer a client scheduled for a prostatectomy for prostate cancer expresses the fear that he'll have erectile dysfunction. In responding to this client, what should the nurse keep in mind? erectile dysfunction can occur even with a nerve sparing procedure. what should the nurse explain to the client with chronic bacterial prostatitis who is undergoing anti-biotic therapy? pain will lessen once the infection is her dolls and course of treatment is generally 4 to 12 weeks

which manifestations of testicular cancer with a nurse observe for when assessing a client for this disease? painless mass and sensation of heaviness in the scrotal area which of the nurse explain to the client who has had a vasectomy? an alternative form of contraception will be necessary for 6 to 8 weeks what measures should the nurse use to decrease the clients discomfort over care related to with reproductive organs? maintain a non-judgmental attitude towards a sexual practices. why does prebyopia occur in older individuals? the lens become inflexible. what is the most important nursing intervention for clients with epidemic keratoconjunctivitis?

which of the following statements best describe a client who has the sensorineural hearing loss? the client has difficulty understanding speech which of the following statements best describes a client with permanent visual impairment? they may experience the same grieving process that is associated with other losses. what is the primary function of the skin? protection age related changes in hair and nails? scaly scalp, thicker brittle nails, and longitudinal nail ridging during the physical examination of a client's skin, which of the following would the nurse do? pinch up a fold of skin to assess for turgor.

the nurse assessed the client's skin lesions as firm, edematous, and irregularly shaped with variable diameter. what would these lesions be called? wheals what is the most appropriate technique for the nurse to use in assessing the skin for temperature and moisture? palpation individuals with dark skin are more likely to develop which of the following? keloids on inspection of the client's skin, the nurse notes the complete absence of melanin pigment in patchy areas on the client's hands. what is this assessment finding called? vitiligo We have an expert-written solution to this problem! under what circumstances is a diagnostic testing recommended for skin lesions?

a patient with acne vulgaris tells the nurse that she has to quit her job as a receptionist because she feels the appearance is disgusting to customers. Which of the following nursing diagnosis best describes a patient's response? social isolation related to Alternative and physical appearance what important point should client teaching after a chemical peel includes? avoidance of sun exposure the nurse is caring for a client after a thyroidectomy and knows how calcium gluconate is prescribed. The nurse determines that this medication has been prescribed for which reason? treat hypocalcemic tetany the nurse is collecting data regarding a client after thyroidectomy and knows the development of the horse and weak voice. Which nursing action is appropriate? are you sure the client that this is usually a temporary condition. a client is admitted to the emergency department and a diagnosis of myxedema coma is made. which action should the nurse prepare to carry out initially?

maintain a patent Airway. what are the signs and symptoms of hypothyroidism? Dry skin, intolerance to cold, constipation, weight gain, fatigue and increased need for sleep, depression, hair loss the nurse is caring for a post-operative parathyroidectomy client. Which would require the nurse immediate attention? laryngeal stridor the nurse is monitoring a client receiving a loaf of thyroxine sodium for hypothyroidism. Which findings indicate the presence of side effects associated with this medication? insomnia, weight loss, and Mild heat intolerance the nurse is collecting data from a client who has had benign prostatic hyperplasia (BPH) in the past. to determine whether the client is currently experiencing exacerbation of BPH, the nurse should ask the client about the presence of which early symptom? urge incontinence