PNR 309 Final UPDATED Exam Questions and CORRECT Answers
3 views 0 purchase
Course
PNR 309
Institution
PNR 309
PNR 309 Final UPDATED Exam Questions
and CORRECT Answers
What is a characteristic that is common to all hormones? - Correct Answer- They influence
cellular activity of specific target tissues.
A client is receiving radiation therapy for cancer of the kidney. The nurse monitors the client
fo...
PNR 309 Final UPDATED Exam Questions
and CORRECT Answers
What is a characteristic that is common to all hormones? - Correct Answer- 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)? - Correct Answer-
Adrenal Glands
A client has a serum sodium level of 152 mmol/L. What is the normal hormonal response to
this situation? - Correct Answer- Release of ADH
All cells in the body are believed to have intracellular receptors for which of the following? -
Correct Answer- Thyroid hormone
When obtaining subjective data from a client during assessment of the endocrine system, the
nurse asks specifically about which of the following? - Correct Answer- Energy level
What is appropriate technique to use during physical assessment of the thyroid gland? -
Correct Answer- Have the client swallow water during inspection and palpitation of the
gland.
Why do endocrine disorders often go unrecognized in older adults? - Correct Answer-
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? -
Correct Answer- Decrease serum PTH
after hypophysectomy for acromegaly, which of the following should be the focus of post-
operative Nursing Care? - Correct Answer- frequent monitoring of serum and urine
osmolarity
,a client with head injury develops siadh. Which of the following manifestations of siadh
would the nurse expect to find? - Correct Answer- low urine output and hyponatremia
which of the following symptoms would lead the nurse to suspect Ganondorf removal of the
parathyroid glands after thyroid surgery? - Correct Answer- hypothermia and tachycardia
important nursing intervention when caring for a client with Cushing's syndrome? - Correct
Answer- monitoring blood glucose levels and protecting the client from exposure to infection
which of the following is an important preoperative nursing intervention before an
adrenalectomy for hyper aldosteronism - Correct Answer- administer potassium sparing
diuretics
how does the nurse instruct the client who is taking corticosteroids to control the adverse
effects of drug therapy? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- Calcium levels
, A client's recent medical history is indicative of diabetes insipidus. The nurse would perform
client education related to which of the following diagnostic tests? - Correct Answer- Water
deprivation test
The nurse is caring for a client admitted with suspected hyperparathyroidism. Because of the
potential effects of this disease on electrolyte balance, the nurse should assess this client for
which of the following manifestations? - Correct Answer- Lethargy and weakness
The nurse should monitor for which of the following adverse changes in the client's
laboratory values as a result of being treated with dexamethasone? - Correct Answer- Blood
glucose 8.9 mmol/L
The nurse is providing discharge teaching to a client with diabetes insipidus who is taking
desmopressin acetate (DDAVP) intranasally. Which of the following instructions should the
nurse include in the client teaching plan? - Correct Answer- Alternate nostrils during
administration
The client has a prescription for prednisone 45 mg PO daily. Available are 10-mg tablets.
How many tablets should the nurse prepare to give? - Correct Answer- 4.5 tabs
Which of the following is a nursing priority in the care of a client with a diagnosis of
hypothyroidism? - Correct Answer- Client teaching related to levothyroxine
A client has been taking oral prednisone for the past several weeks after having a severe
reaction to poison ivy. The nurse has explained the procedure for gradual reduction rather
than sudden cessation of the drug. What of the following complications does this approach to
drug administration prevent? - Correct Answer- Adrenal insufficiency
The nurse is caring for a client who had a thyroidectomy, including removal of the
parathyroid gland. Which of the following assessments should the nurse prioritize when
providing postoperative care for this client? - Correct Answer- Monitoring the client's serum
calcium levels and assessing for signs of hypocalcemia
The nurse is admitting a client with the diagnosis of advanced renal carcinoma. Based on this
diagnosis, the nurse will expect to find which of the following presenting symptoms that
occur in clients with renal cancer? - Correct Answer- Hematuria, flank pain, palpable mass
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
