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NURS 5334 EXAM 3 2025 QUESTIONS AND DETAILED ANSWERS
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NURS 5334 EXAM 3 2025 QUESTIONS AND DETAILED ANSWERS
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NURS 5334 EXAM 3 2025 QUESTIONS ANDDETAILED ANSWERS
Diabetes Management
DiagnosingKDiabetes
• DiagnosticKcriteriaKforKdiabetesKincludeKfastingKglucoseKofK126,KcasualKglucoseKofK200KorKhigher,Kan
dKA1cKofK6.5KorKgreater.
• BloodKpressureKthresholdsKforKhypertensionK(HTN)KaccordingKtoKJNC8KandKACE/ACCEKguidelines.
• ImportanceKofKknowingKaboutKbasalKinsulins,KprescriptionKguidelines,KandKdosageKcalculations.
• StepwiseKapproachKtoKdiabetesKmanagementKinvolvingKlifestyleKchanges,Kmetformin,KandKadditio
nalKdrugKclasses.
• UnderstandingKtheKpercentagesKofKA1CKreductionsKandKweightKeffectsKofKdifferentKmedications.
MedicationsKforKDiabetes
• CommonKsideKeffectsKandKmechanismsKofKactionKofKmetformin,Ksulfonylureas,Kmeglitinides,KTZDs,K
alpha-glucosidaseKinhibitors,KDPP4Kinhibitors,KSGLT2Kinhibitors.
• SpecificKdetailsKonKeachKmedicationKclass,KincludingKA1CKreductionKpercentagesKandKweightKeffect
s.
• ConsiderationsKforKprescribingKinjectablesKlikeKGLP1KreceptorKagonistsKandKamylinKmimetics.
ThyroidKFunctionKandKDisorders
ThyroidKHormoneKRegulation
• OverviewKofKtheKhypothalamic-pituitary-thyroidKaxisKandKtheKproductionKofKT3KandKT4.
• ImpactKofKdisruptionsKinKtheKthyroidKhormoneKcycleKonKhypo-KandKhyperthyroidism.
• DifferentiatingKprimary,Ksecondary,KandKtertiaryKcausesKofKthyroidKdisorders.
• ScreeningKrecommendationsKforKthyroidKissuesKinKfemalesKoverK40.
DiagnosisKandKTreatmentKofKThyroidKDisorders
• InterpretationKofKTSH,KfreeKT4,KandKfreeKT3KlevelsKinKhypo-KandKhyperthyroidism.
• GuidelinesKforKtreatingKsubclinicalKthyroidKconditionsKbasedKonKTSHKlevels.
• DosageKconsiderationsKforKachievingKaKeuthyroidKstateKwithKmedication.
• SpecificKdosagesKbasedKonKageKandKhealthKstatus,KwithKaKfocusKonKstartingKlowKandKtitratingKslowly
.
, ThyroidKHormoneKPreparations
Levothyroxine
• SyntheticKpreparationKofKT4,KtheKdrugKchoiceKforKhypothyroidism.
• ConversionKtoKT3KandKhasKaKhalf-lifeKofK7Kdays.
• UsedKforKallKformsKofKhypothyroidismKdueKtoKbeingKextremelyKinexpensive.
• PatientsKshouldKreturnKforKfollow-upKinK6-8KweeksKafterKstartingKtreatment.
• DosageKadjustmentKbasedKonKTSHKlevels,KtypicallyKincreasedKbyK12.5-25Kmcg.
• MaintenanceKdosageKcanKbeKadjustedKbasedKonKTSHKlevelsKoverKtime.
OtherKThyroidKHormoneKPreparations
• LiothyroxineK(Cytomel)KisKsyntheticKT3.
• LiotrixK(Thyrolar)KisKaKmixtureKofKsyntheticKT4KandKT3.
• ThyroidK(ArmourKThyroid,Kothers)KconsistsKofKdesiccatedKanimalKthyroidKglands.
• DrugKinteractionsKaffectingKlevothyroxineKabsorptionKandKmetabolism.
• CautionKwithKcatecholamines,Kinsulin,KandKdigoxinKwhenKadministeringKthyroidKhormones.
DrugKInteractions
• DrugsKthatKreduceKlevothyroxineKabsorptionKandKthoseKthatKaccelerateKitsKmetabolism.
• WarfarinKinteractionKwithKlevothyroxine.
• Catecholamines'KinteractionKwithKthyroidKhormones.
• ImpactKofKlevothyroxineKonKinsulinKandKdigoxinKrequirements.
Hyperthyroidism
MedicationsKforKHyperthyroidism
• CommonlyKseenKinKGraves'KdiseaseKinKpatientsKunderK40,KespeciallyKfemales.
• TreatmentKusuallyKinvolvesKreferralKtoKanKendocrinologist.
• PropranololKcanKbeKgivenKbeforeKspecialistKreferral.
• MedicationsKlikeKPTUKandKMethimazoleKusedKforKtreatmentKwithKspecificKconsiderations.
MaternalKHypothyroidism
ImportanceKofKTreatment
• CriticalKtoKtreat,KespeciallyKinKtheKfirstKtrimesterKtoKpreventKfetalKthyroidKhormoneKdeficiency.
• UntreatedKmaternalKhypothyroidismKcanKleadKtoKneuropsychologicalKdamageKinKtheKchild.
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