NSG6001 Adult Endocrine Metabolic Chronic AG and FNP Certification Exam with Questions and Answers

NSG6001 Adult Endocrine Metabolic Chronic AG and FNP Certification Exam with Questions and Answers A diabetic client on a sulfonylurea and metformin with an HbA1c of 6.5% is complaining of episodes of low blood sugar. Which of the following changes would be the most appropriate? A. Decrease the dosage of the metformin. B. Discontinue the metformin. C. Increase carbohydrate intake. D. Decrease the sulfonylurea. ANSWER Answer D Metformin, DPP-4 inhibitors such as sitagliptin (Januvia) and incretin mimetics such as exenatide (Byetta) are gaining favor over sulfonylureas because the risk of hypoglycemia is less than with sulfonylureas Which of the following steps will not prevent or slow the progression of diabetic nephropathy? A. Control of blood pressure B. Use of ACE inhibitors C. Restriction of protein intake D. Use of calcium channel blockers ANSWER Answer D Calcium channel blockers do not slow the progression of diabetic nephropathy in clients with diabetes.