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NR 601 Quiz 5 MATURE AND AGING ADULT-Week 6 DE QS 106 Endocrine and Metabolic Problems and Urgent Care Issues, NR 601: Care of the Maturing and Aged Family, Chamberlain $15.49   Add to cart
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NR 601 Quiz 5 MATURE AND AGING ADULT-Week 6 DE QS 106 Endocrine and Metabolic Problems and Urgent Care Issues, NR 601: Care of the Maturing and Aged Family, Chamberlain
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NR 601 Quiz 5 MATURE AND AGING ADULT-Week 6 DE QS 106 Endocrine and Metabolic Problems and Urgent Care Issues, NR 601: Care of the Maturing and Aged Family, Chamberlain

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  • May 24, 2023
  • 59
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • chamberlain
  • nr 601 quiz 5 mature and aging adult week 6 de qs 106 endocrine and metabolic problems and urgent care issues
  • nr 601 care of the maturing and aged family

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  • NR 601
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Quiz 5 NR 601 MATURE AND AGING ADULT
NR 601: Care of the Maturing and Aged Family

,Quiz 5 NR 601 MATURE AND AGING ADULT


Question 1
pts
Which of the following laboratory results meets criteria for diagnosis of
diabetes?



random blood glucose greater than 126 mg/dL with classic symptoms of
hyperglycemia



positive urine ketones




random glucose greater than 200 mg/dL with classic symptoms of
hyperglycemia



Hgb A1C 6.4%

The criterion for the diagnosis of diabetes is either two fasting blood glucose
readings with results greater than or equal to 126 mg/dL or a random blood
glucose reading greater than or equal to 200 mg/dL if symptoms of diabetes
are present. Random glucose is not the appropriate test. In older adults, the
glucose reading after a 2-hour oral glucose tolerance test (OGTT) rises more
rapidly than the fasting glucose. Kennedy p.370


Question 2
pts
Which “P” is a component of “the 3 P’s” of diabetes mellitus?



polygraphia




polyphagia



pain

,paresthesia

The 3 Ps of diabetes are polyphagia, polyuria and polydipsia. Kennedy p. 370


Question 3
pts
A patient with Type 2 diabetes comes to the clinic after reading a magazine
article about metformin and has some concerns about taking metformin.
Which condition listed below would be a contraindication to taking
metformin?



chronic obstructive pulmonary disease



ulcerative colitis




renal disease



inflammatory bowel disease

Metformin is contraindicated in renal disease, abnormal creatnine clearance,
acute myocardial infarction or septicemia. Dunphy p. 927


Question 4
pts
The nurse practitioner student is reviewing the lab results from an annual an
annual exam. The CMP fasting glucose was 128 mg/dL. What is the nurse
practitioner student's next action?


Correct Answer

order a Hgb A1c

, prescribe Metformin 500 mg po daily



repeat fasting glucose in 1 week




repeat fasting glucose in 1 year

A fasting plasma glucose > 126 mg/dL requires further testing. In the absense
of unequivocal hyperglycemia, result should be confirmed by repeat testing .
A HgbA1C is the correct answer becasue the repeat testing should be
completed without delay.
Retesting in a week or a year is a delay. Metformin should not be initatiated
until the diagnosis is confirmed . Dunphy p.925


Question 5
pts
A newly diagnosed patient with Type 2 diabetes mellitus (DM) is 66 inches in
height. The patient's weight is 200 lbs, and the A1c is 7.1%. What is the best
initial treatment?


Correct Answer

diet, exercise, and metformin



diet, exercise, and insulin




diet and exercise



no treatment necessary at this time

At 66 in and a weight of 200 lbs. the patient has a BMI of 32.3. If you did not
have an ability to calculate, the weight of 200 is higher than a normal BMI.
The ADA and AACE recommend that patients with recent onset T2DM (A1C <
7.5%) start with lifestyle changes and monotherapy. Dunphy p.927

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