Week 8 Quiz with 100% correct answers

Max daily dose of metformin in mg 2550mg A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner (NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist and prescribe: levothyroxine. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 2 weeks. The patient reports continued fatigue. The primary care NP should: Encourage continuing to take for 3-4 more weeks and then check another TSH An 80-year-old female patient with a history of angina has increased TSH and decreased T4. The primary care NP should prescribe _____ mcg of _____. 25mcg of Levothroxine A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: Tell the patient that changing brands should be avoided. A 75-year-old patient who has cardiovascular disease reports insomnia and vomiting for several weeks. The primary care NP orders thyroid function tests. The tests show TSH is decreased and T4 is increased. The NP should consult with an endocrinologist and order: Methimazole. Meglitinides work the same as sulfonylureas by stimulating the pancreas to release insulin Insulin is used to treat both types of diabetes. It acts by: Increasing beta cell response to low blood-glucose levels Stimulating hepatic glucose production Increasing peripheral glucose uptake by skeletal muscle & fat Improving the circulation of free fatty acids Increasing peripheral glucose uptake by skeletal muscle & fat Insulin preparations are divided into categories based on onset, duration, & intensity of action following subcutaneous injection. Which of the following insulin preparations has the shortest onset & duration of action? Lispro Glulisine (Humalog) Glargine Detemir Glulisine (Humalog) The drug of choice for type 2 diabetics is metformin. Metformin: Decreases glycogenolysis by the liver Increases the release of insulin from beta cells Increases intestinal uptake of glucose Prevents weight gain associated with hyperglycemia Decreases glycogenolysis by the liver What problem should the nurse assess for in a patient with chronic hyperparathyroidism? Osterporosis and pathologic fractures hyponatremia vitamin k malabsorption seziures Osterporosis and pathologic fractures What classification of OAD (Oral Anti-diabetic) medication delays the absorption of carbohydrates from the GI TRACT? Biguanidesb. Thiazolidinediones. Alpha- Glucosidase. Meglitinidese. Sulfonylureas Alpha- Glucosidase. What Oral Antidiabetic stimulates beta cells to secrete more insulin and increase receptor sites in the tissue? Alfa-Glucosidase Inhibitors Biguanides Sulfonylureas Thiazolidinediones Meglitnides Sulfonylureas The nurse practitioner finds a solitary nodule on the clients' thyroid gland during a routine physical exam. How should the NP proceed with a management of this case? Referral to a general surgeon Thyroid hormone levels and sonogram X-ray examination of the thyroid Immediate referral to an endocrinologist Thyroid hormone levels and sonogram surgery and metformin With held a few days before the surgery A client with Graves's disease is to have radioactive iodine therapy. When teaching about this treatment, what information should the NP include? Clients are highly radioactive for approximately 7 days after treatment and need to be isolated Clients should not become pregnant during or receiving treatment because of the potential teratogenic effects. Clients may experience hypothyroidism after this treatment and will need regular TSH and T4 levels determined and may require thyroid hormone replacement therapy. This therapy in contraindicated in clients with cardiac disease. Clients may experience hypothyroidism after this treatment and will need regular TSH and T4 levels determined and may require thyroid hormone replacement therapy.