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NR 601 Midterm Exam Study Guide | Primary Care of the Maturing and Aged Family Exam | Questions and Answers Rated A+ | 2024/2025 Guide$9.99
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NR 601 Midterm Exam Study Guide | Primary Care of the Maturing and Aged Family Exam | Questions and Answers Rated A+ | 2024/2025 Guide
NR 601 Midterm Exam Study Guide | Primary Care of the Maturing and Aged Family Exam | Questions and Answers Rated A+ | 2024/2025 Guide
Gold standard for diagnosis of HF - Correct Answer - echo
Medication classes for heart failure - Correct Answer - ACE or ARB
,Beta blocker (carvedilol, metoprolol succinate)
Diuretic
If a heart failure patient is on spironolactone and furosemide and has
more leg swelling on exam, which should you increase? - Correct
Answer - furosemide only d/t risk of arrhythmia with hyperkalemia
What are the major complications of diabetes? head to toe - Correct
Answer - Stroke
Heart disease
Blindness
Kidney failure
Poor wound healing
Amputation
How does a normal person process glucose? (3 pathways)
- Correct Answer - Glucose stimulates pancreas to release insulin
-> Insulin causes adipose/muscle cells to uptake glucose
Glucose stored in liver as glycogen
Glucose stored as fat
Through these different forms of "storage" glucose leaves the
bloodstream and blood glucose is lowered
,How does a diabetic person process glucose?
- Correct Answer - They do not process glucose well
The beta cells of the pancreas are damaged, so they do not secrete
insulin effectively
Without insulin, cells do not re-uptake glucose and blood glucose rises
What is the effect of elevated blood glucose?
- Correct Answer - Causes polyuria, which causes dehydration, which
causes polydipsia
Can cause frequent UTIs which is a common symptom of diabetes
With chronic dehydration, there is less blood flow to the kidneys which
causes kidney damage. Less blood flow to the nerves, which causes
nerve damage (feet, eyes)
Leads to fatty buildup in the blood vessels, which causes PAD and poor
wound healing
What are some lifestyle modifications you could recommend to a patient
newly diagnosed with diabetes?
- Correct Answer - vigorous exercise 3x/week
diabetes education
low carb diet
nutrition consult
structured weight loss to decrease weight 5%
, Screening guidelines for diabetes USPTF
- Correct Answer - 35-70 yo (40-70 in textbook) for adults overweight
and obese
What risk factors could make you screen sooner for diabetes?
- Correct Answer - obesity, family history, Latino, African American, hx
gestational diabetes and PCOS
What fasting blood glucose is diagnostic for diabetes?
- Correct Answer - 126
What non fasting blood glucose is diagnostic for diabetes?
- Correct Answer - 200
What A1C is diagnostic of diabetes?
- Correct Answer - 6.5% or higher
When should you start insulin?
- Correct Answer - A1C >11
What can you use metformin as first line?
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