Nurs 623 Exam 2 – Questions With Complete
Solutions
When starting a patient on insulin, what type and what dose?
Correct Answer - NPH and start with 10 units
Appropriate drug class/medication for DM2? Correct Answer -
biguanide/Metformin
Labs for a patient with Graves? Correct Answer - low TSH, high
T4,T3
Contraindications for metformin? Correct Answer - Renal
disease, liver disease, alcoholics
Education for foot care in DM? Correct Answer - Check feet
daily, wear socks and shoes, keep lotion on them, trim toenails
straight across.
Education for eye care for DM? Correct Answer - Annual eye
exams.
Therapy for Graves? Correct Answer - PTU (preferred in
pregnancy)or methimazole, RAIU for elderly
Primary cause of mortality in DM? Correct Answer - ischemic
heart failure
In DM, before starting therapy, what do you need to know?
Correct Answer - renal function, compliance, cardiac history
After taking levothyroxine for 6 months, what happens to labs?
Correct Answer - Normal TSH or trending down
, Based on A1C, how do you treat? Correct Answer - >7.5-8 start
treatment, <7.5 may do lifestyle modifications for 3 months
Education regarding sulfonylurea? Correct Answer - Use
shorter acting such as glipizide, glimepiride.
How would you treat a thyroid nodule? Correct Answer - TSH,
Ultrasound
Testing for Graves? Correct Answer - Low TSH, High T4/T3, +
TSI
Testing for HashimotOs? Correct Answer - High TSH, Low
T4/T3, +TSO
Testing for gout? Correct Answer - Serum uric acid, aspiration
of sodium urate crystals from the joint.
S/Sx of gout? Correct Answer - pain, tenderness and swelling
in monoarticular joint
How does radioactive iodine affect the thyroid gland? Correct
Answer - Destroys the gland for life
Goal of A1C for non diabetics? Correct Answer - 4-5.6%
Goal of A1C for diabetics? Correct Answer - 6-8%
S/Sx of Graves? Correct Answer - bulging eyes, thin fine hair,
tachycardia
S/Sx of Cushings? Correct Answer - Moon face, buffalo hump,
hyperglycemia
Solutions
When starting a patient on insulin, what type and what dose?
Correct Answer - NPH and start with 10 units
Appropriate drug class/medication for DM2? Correct Answer -
biguanide/Metformin
Labs for a patient with Graves? Correct Answer - low TSH, high
T4,T3
Contraindications for metformin? Correct Answer - Renal
disease, liver disease, alcoholics
Education for foot care in DM? Correct Answer - Check feet
daily, wear socks and shoes, keep lotion on them, trim toenails
straight across.
Education for eye care for DM? Correct Answer - Annual eye
exams.
Therapy for Graves? Correct Answer - PTU (preferred in
pregnancy)or methimazole, RAIU for elderly
Primary cause of mortality in DM? Correct Answer - ischemic
heart failure
In DM, before starting therapy, what do you need to know?
Correct Answer - renal function, compliance, cardiac history
After taking levothyroxine for 6 months, what happens to labs?
Correct Answer - Normal TSH or trending down
, Based on A1C, how do you treat? Correct Answer - >7.5-8 start
treatment, <7.5 may do lifestyle modifications for 3 months
Education regarding sulfonylurea? Correct Answer - Use
shorter acting such as glipizide, glimepiride.
How would you treat a thyroid nodule? Correct Answer - TSH,
Ultrasound
Testing for Graves? Correct Answer - Low TSH, High T4/T3, +
TSI
Testing for HashimotOs? Correct Answer - High TSH, Low
T4/T3, +TSO
Testing for gout? Correct Answer - Serum uric acid, aspiration
of sodium urate crystals from the joint.
S/Sx of gout? Correct Answer - pain, tenderness and swelling
in monoarticular joint
How does radioactive iodine affect the thyroid gland? Correct
Answer - Destroys the gland for life
Goal of A1C for non diabetics? Correct Answer - 4-5.6%
Goal of A1C for diabetics? Correct Answer - 6-8%
S/Sx of Graves? Correct Answer - bulging eyes, thin fine hair,
tachycardia
S/Sx of Cushings? Correct Answer - Moon face, buffalo hump,
hyperglycemia
