Exam (elaborations)
NR 565 Final Exam Study Guide Questions With Correct Answers.
- Course
- Institution
NR 565 Final Exam Study Guide Questions With Correct Answers.
[Show more]
Seller
Follow
Content preview
NR 565 Final Exam Study GuideQuestions With Correct Answers
What labs are used to diagnose Thyroid? - ANSWER -TSH, total T4 and T3, free T4 and T3
Timeframe for re-check of labs after starting levothyroxine - ANSWER -6-8 wks after starting
therapy
Signs and symptoms of hypothyroidism - ANSWER -Face: Pale, puffy, expressionless
Skin: Cold and dry
Hair: Brittle and hair loss
Heart rate and temp are lowered
Complaints by patient: lethargy, fatigue, intolerance to cold
Mentation may be impaired
Thyroid enlargement if ↓'d levels of T3 and T4 promoting excessive release of TSH
Treatment of thyroid storm - ANSWER -High dose potassium iodide or strong iodine solution to
suppress thyroid hormone release,
methimazole to suppress thyroid hormone synthesis,
beta blocker to reduce heart rate, sedation cooling glucocorticoids and IV fluids
Result of not treating hypothyroidism during pregnancy - ANSWER -permanent neurological
defects, ↓'d IQ, large protruding tongue, potbelly dwarfish stature, impaired development of
nervous system bone teeth and muscles.
Medication to treat symptoms of hyperthyroidism (notice this is treating symptoms and not the
hyperthyroidism itself) - ANSWER -Metoprolol could be used to treat tachycardia experienced
with hyperthyroidism, but it does not treat hyperthyroidism itself.
NR 565 Final Exam Study Guide Questions With Correct Answers
, Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by: - ANSWER -
Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food reduces
absorption as well
How to confirm a diagnosis of DM prior to beginning treatment - ANSWER -Hemoglobin A1C >
6.5%,
Fasting plasma glucose ≧ 126 mg/dL, Random plasma glucose ≧200 mg/dL plus symptoms of
diabetes,
Oral glucose tolerance test (OGTT):
2-h plasma glucose ≧200 mg/dL
A1C General goals - ANSWER -less than 7%, less than 8% in patients with severe hypoglycemia,
limited life expectancy, or advanced microvascular or macrovascular complications
A1c - Older Adult goal - ANSWER -
When should insulin be considered? - ANSWER -Type 1 Diabetics All are on insulin
Type 2 Diabetics
Step 3 - Three drug combination (inclusive of metformin)
NR 565 Final Exam Study Guide Questions With Correct Answers
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 Lectphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now