CMN 572 MODULE 3 FINAL REAL EXAM 100+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) GRADED A+
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Course
CMN 572
Institution
CMN 572
CMN 572 MODULE 3 FINAL REAL EXAM 100+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) GRADED A+
What are the risk factors of using insulin? - Answer-Hypogylcemia
Weight gain
lipohypertrophy
What are the S/S of hypoglycemia? - Answer-hunger
shakiness
nervousness
sweating
dizziness
sleep...
CMN 572 MODULE 3 FINAL REAL EXAM
100+ QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
GRADED A+
What are the risk factors of using insulin? - Answer-Hypogylcemia
Weight gain
lipohypertrophy
What are the S/S of hypoglycemia? - Answer-hunger
shakiness
nervousness
sweating
dizziness
sleepiness
confusion
anxiety
weekness
difficulty speaking
What glycemic control medications if taken alone do not cause hypoglycemia? -
Answer-Acarbose (alpha-glucosidase inhibitor)
Miglitol (alpha-glucosidase inhibitor)
Metformin (biguanides)
Pioglitazone (thiazolidinediones)
Rosiglitazone (thiazolidinediones)
What kind of effect does drinking alcohol have on glycemic levels? - Answer-causes
hypoglycemia
What food items should be given if a pt has a BG of <70 but is still conscious enough to
eat them safely? - Answer-3 or 4 glucose tabs
1 serving glocose gel
1/2 cup (4oz) fruit juice
1/2 cup (4oz) non-diet soda
1 cup (8oz) of milk
5-6 peices of hard candy
1 tbs of sugar or honey
,When taking ________ or __________ you must consume pure dextrose when having
a hypoglycemic event because taking quick-fix foods will not reverse it (these meds
slow digestion of other forms of carbs) - Answer-acarbose/miglitol
How often should you assess the A1C if the pt does not have good glycemic control? -
Answer-every 3 months
How often should you perform a fundoscopic eye exam on your pt with DM? - Answer-at
every dr visit
How often should you do a foot exam including a visual inspection and testing for
sensation with the monofilament or tuning fork? How often should you perform a
comprehensive foot exam? - Answer-Every visit
Every year
How often should you check lipid levels in a patient with DM? - Answer-yearly
How often should you check the patients BP? - Answer-every visit
How often should you assess the patients average fasting BG? - Answer-every visit
How often should you obtain a urine albumin/creatinne ratio? - Answer-yearly
What is eruptive cutaneous xanthomas? - Answer-yellow morbilliform eruptions that
appear on extensor surfaces (elbows, knees, buttocks)
will usually clear up after triglyceride levels are reduced
What is acanthosis nigricans? - Answer-skin hyperpigmentation that occurs in skin folds
such as the arm pit, groin, and back of neck
associated with insulin resistance
What is the normal range of TSH? - Answer-0.4-4.0
What does it indicate if the TSH is high and T4 is low? - Answer-hypothyroidism
What does it indicate if the TSH is low and T4 & T3 is high? - Answer-Hyperthyroidism
If antithyroglobulin antibody and antithyroperoxidase antibody are both elevated which
disease process would you assume that your patient has? - Answer-Graves dz
, What are some S/S your patient may present with if they are experiencing early stages
of hypothyroidism? - Answer-intolerance to cold
hair loss/receding hairline
Apathy
lethargy
Dry, coarse, scaly skin
muscle weakness and aches
constipation
facial and eyelid edema
dull-blank expression
thick tongue, slow speech
anorexia
brittle nails and hair
menstrual disturbances
what are late clinical manifestations of hypothyroidism? - Answer-subnormal temp
bradycardia
weight gain
decreased LOC
thickened skin
cardiac complications
As the FNP, you review your patients lab results which show a low T4 and a high TSH.
Which medication would you prescribe and at what dosage? - Answer-Levothyroxine
(Synthroid) 25-50 mcg/d
You started your patient on Synthroid 4 weeks ago and the repeat lab work shows that
they are still in a hypothyroidism state, what should you as the FNP do next? - Answer-
Assess if the patient is taking the medication properly
Assess if the patient is taking name brand or generic
Adjust dose by 25mcg every 1-3 weeks until pt is euthyroid
What is a special consideration when prescribing levothyroxine? - Answer-You must
ensure that the patient is continuing on the same brand (generic vs name-brand) of the
medication because the different medications have different absorption rates
If the patient is not succeeding on one brand you may try switching to see if they
respond better
What should the TSH level be of a patient who is taking thyroid replacement? And how
often should you check this lab? - Answer-0.4-2.0
every 4-6 weeks after making a dose change or changing the medication
You are treating your patient for hypothyroidism and they become pregnant what
change would be indicated related to their medication? - Answer-They may require
higher doses of levothyroxine/synthroid during pregnancy
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