MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTION

MARYVILLE NURS 623 EXAM 2 QUESTIONS WITH COMPLETE SOLUTION Which of the serum laboratory findings are present in the client with Cushing's syndrome? - CORRECT ANSWERS Increased cortisol, HYPERnatremia, and HYPOkalemia Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - CORRECT ANSWERS Watchful waiting with an annual follow-up ACE inhibitors are given to clients with diabetes who have - CORRECT ANSWERS persistent proteinuria A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as monotherapy? - CORRECT ANSWERS metformin An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? - CORRECT ANSWERS a-fib, depression, weight loss Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her diagnosis. Today, she appears with a thick trunk and thin extremities. She has a "moon face," a "buffalo hump," thin skin with visible capillaries, and a number of bruises that appear to be slow in healing. To what do you attribute these symptoms? - CORRECT ANSWERS excessive levels of cortisol The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin 70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would you make? - CORRECT ANSWERS increase A.M. insulin Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you tell him? - CORRECT ANSWERS "Let's try it. You're glycohemoglobin will be lowered and you may lose weight." Which is the only treatment option that is curative for primary hyperparathyroidism? - CORRECT ANSWERS parathyroidectomy The most common worldwide cause of hypothyroidism is: - CORRECT ANSWERS iodine deficiency What should be assessed for during exam on pt with HYPOparathyroidism? - CORRECT ANSWERS chvostek's sign Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to - CORRECT ANSWERS ADD LONG-ACTING INSULIN Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? - CORRECT ANSWERS Broccoli What controls the amount of calcium in the blood? - CORRECT ANSWERS Parathyroid Thyroid hormones regulate - CORRECT ANSWERS metabolism Which tests should you order to confirm a diagnosis of hypothyroidism? - CORRECT ANSWERS t3 & Free T4 (preferred over T4) What are the hallmark signs of Grave's disease? - CORRECT ANSWERS enlarged thyroid and increased T3 What is the gold standard screening for thyroid TUMOR/NODULE? - CORRECT ANSWERS ULTRASOUND What is the diagnostic screening for thyroid cancer? - CORRECT ANSWERS FINE NEEDLE BIOPSY What is the preferred treatment of Grave's disease in pregnancy - CORRECT ANSWERS Propylthiouracil (PTU): Before starting anti-thyroid meds what should be checked? - CORRECT ANSWERS LIVER FUNCTIONS