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MARYVILLE NURS 623 EXAM 2(ENDOCRINE & METABOLIC) ACTUAL EXAM GUIDE NEWEST VERSION EXPECTED QUESTION AND CORRECT ANSWER FROM VERIFIED SOURCES.$17.99
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MARYVILLE NURS 623 EXAM 2(ENDOCRINE & METABOLIC) ACTUAL
EXAM GUIDE NEWEST VERSION 2024-2025 EXPECTED
QUESTION AND CORRECT ANSWER FROM VERIFIED
SOURCES.
Which of the serum laboratory findings are present in the client with
Cushing's syndrome? - ANSWER-✔✔Increased cortisol, HYPERnatremia,
and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common
treatment involves: - ANSWER-✔✔Watchful waiting with an annual
follow-up
ACE inhibitors are given to clients with diabetes who have - ANSWER-
✔✔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? - ANSWER-✔✔metformin
An elderly client with hyperthyroidism may present with atypical
symptoms. Which of the following manifestations are commonly seen in
the elderly with hyperthyroidism? - ANSWER-✔✔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? -
ANSWER-✔✔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? - ANSWER-
✔✔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? - ANSWER-✔✔"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? - ANSWER-✔✔parathyroidectomy
The most common worldwide cause of hypothyroidism is: - ANSWER-
✔✔iodine deficiency
,What should be assessed for during exam on pt with
HYPOparathyroidism? - ANSWER-✔✔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 - ANSWER-
✔✔ADD LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell
her is allowed in her diet? - ANSWER-✔✔Broccoli
What controls the amount of calcium in the blood? - ANSWER-
✔✔Parathyroid
Thyroid hormones regulate - ANSWER-✔✔metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism?
- ANSWER-✔✔t3 & Free T4 (preferred over T4)
What are the hallmark signs of Grave's disease? - ANSWER-✔✔enlarged
thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? -
ANSWER-✔✔ULTRASOUND
, What is the diagnostic screening for thyroid cancer? - ANSWER-✔✔FINE
NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy -
ANSWER-✔✔Propylthiouracil (PTU):
Before starting anti-thyroid meds what should be checked? - ANSWER-
✔✔LIVER FUNCTIONS
what is the goal of thyroid treatment - ANSWER-✔✔euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? -
ANSWER-✔✔hyperglycemia; cardiac arrhythmias (Afib); adrenal
insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid
hormones? - ANSWER-✔✔T3 & T4
What are S/S of hyperthyroidism? - ANSWER-✔✔"Hot/buldging/fast"
heat intolerance, eye buldge, tachycardia, weight loss, diarrhea, systolic
HTN, enlarged thyroid
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