MARYVILLE NURS 623 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE

Which of the serum laboratory findings are present in the client with Cushing's syndrome? - MARYVILLE NURS 623 EXAM 2 Increased cortisol, Hypernatremia, and Hypokalemia Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - MARYVILLE NURS 623 EXAM 2 Watchful waiting with an annual follow-up ACE inhibitors are given to clients with diabetes who have - MARYVILLE NURS 623 EXAM 2 persistent proteinuria A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as monotherapy? - MARYVILLE NURS 623 EXAM 2 metformin An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? - MARYVILLE NURS 623 EXAM 2 a-fib, depression, weight loss Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her diagnosis. Today, she appears with a thick trunk and thin extremities. She has a "moon face," a "buffalo hump," thin skin with visible capillaries, and a number of bruises that appear to be slow in healing. To what do you attribute these symptoms? - MARYVILLE NURS 623 EXAM 2 excessive levels of cortisol The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin 70/30 in the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150, 105, 144, 101, 172, 98, 201. What changes would you make? - MARYVILLE NURS 623 EXAM 2 increase A.M. insulin Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you tell him? - MARYVILLE NURS 623 EXAM 2 "Let's try it. You're glycohemoglobin will be lowered and you may lose weight." Which is the only treatment option that is curative for primary hyperparathyroidism? - MARYVILLE NURS 623 EXAM 2 parathyroidectomy The most common worldwide cause of hypothyroidism is: - MARYVILLE NURS 623 EXAM 2 iodine deficiency What should be assessed for during exam on pt with HYPOparathyroidism? - MARYVILLE NURS 623 EXAM 2 chvostek's sign Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to - MARYVILLE NURS 623 EXAM 2 ADD LONG-ACTING INSULIN Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? - MARYVILLE NURS 623 EXAM 2 Broccoli What controls the amount of calcium in the blood? - MARYVILLE NURS 623 EXAM 2 Parathyroid Thyroid hormones regulate - MARYVILLE NURS 623 EXAM 2 metabolism Which tests should you order to confirm a diagnosis of hypothyroidism? - MARYVILLE NURS 623 EXAM 2 t3 & Free T4 (preferred over T4) What are the hallmark signs of Grave's disease? - MARYVILLE NURS 623 EXAM 2 enlarged thyroid and increased T3 What is the gold standard screening for thyroid TUMOR/NODULE? - MARYVILLE NURS 623 EXAM 2 ULTRASOUND What is the diagnostic screening for thyroid cancer? - MARYVILLE NURS 623 EXAM 2 FINE NEEDLE BIOPSY What is the preferred treatment of Grave's disease in pregnancy - MARYVILLE NURS 623 EXAM 2 Propylthiouracil (PTU): Before starting anti-thyroid meds what should be checked? - MARYVILLE NURS 623 EXAM 2 LIVER FUNCTIONS What is the goal of thyroid treatment - MARYVILLE NURS 623 EXAM 2 euthyroid state What are signs and symptoms of hypothyroidism overtreatment? - MARYVILLE NURS 623 EXAM 2 hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema. Hyperthyroidism causes an excessive secretion of which thyroid hormones? - MARYVILLE NURS 623 EXAM 2 T3 & T4 What are S/S of hyperthyroidism? - MARYVILLE NURS 623 EXAM 2 "Hot/bulging/fast" heat intolerance, eye bulge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid