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PNR 309- Final Exam with Complete Solutions/ Correct-Verified Answers
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PNR 309- Final Exam with CompleteSolutions/ Correct-Verified Answers
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? - 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? - 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? - 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? - ANSWER 4.5 tabs
Which of the following is a nursing priority in the care of a client with a diagnosis of
hypothyroidism? - 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? - 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? - 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? - ANSWER Hematuria, flank pain, palpable mass
Which of the following nursing interventions is best when providing care for an adult client with
newly diagnosed adult onset polycystic kidney disease (PKD)? - ANSWER Suggest genetic
counselling resources for the children of the client.
The nurse is assessing an older-adult male client who has burning on urination and production
of urine that he describes as "foul smelling." Which of the following factors may predispose a
client to urinary tract infections (UTIs)? - ANSWER Benign prostatic hyperplasia (BPH)
The nurse is caring for a client who has been admitted for the treatment of nephrotic
syndrome. Which of the following is a priority nursing assessment in the care of this client? -
ANSWER Daily weights and measurement of the client's abdominal girth
Which of the following nursing diagnoses is a priority in the care of a client with renal calculi? -
ANSWER Acute pain
Eight months after the delivery of her first child, a client has sought care because of
occasional incontinence that experienced when sneezing or laughing. Which of the following
measures should the nurse first recommend in an attempt to resolve the woman's
incontinence? - ANSWER Kegel exercise
The nurse is admitting a male client for a total knee replacement who states during the health
history interview no problems with urinary elimination except that the "stream is less than it
used to be." The nurse would give the client anticipatory guidance that which of the following
conditions is likely to be developing? - ANSWER Benign prostatic hyperplasia (BPH)
, To accurately monitor progression of the symptom of decreased urinary stream, the nurse
should encourage the client to have which of the following primary screening measures
done on a regular basis? - ANSWER Digital rectal examination (DRE)
The nurse is caring for a client who is one day postoperative following a transurethral
resection of the prostate (TURP). Which of the following events should the nurse prioritize for
intervention? - ANSWER The client's continuous bladder irrigation (CBI) is infusing, but output
has decreased.
The nurse is preparing a client with a diagnosis of benign prostatic hyperplasia (BPH) for
surgery. Which of the following goals is the primary goal of this intervention? -
ANSWER Resumption of normal urinary drainage
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? - ANSWER 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? - ANSWER 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? - ANSWER "You may have some temporary
blurring of vision after instilling these eye drops."
Which of the following findings related to primary open-angle glaucoma should the nurse
expect to find when reviewing a client's history and physical examination report? -
ANSWER Absence of pain or pressure
The nurse is teaching a client about the pathophysiology related to open-angle glaucoma.
Which of the following statements is most appropriate? - ANSWER "There is decreased draining
of aqueous humor in the eye, causing pressure damage to the optic nerve."
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