MVU Nurs 623 Exam 2 Questions and Answers Already Passed

MVU Nurs 623 Exam 2 Questions and Answers Already Passed . Are there any contraindications for starting the recommended first choice oral hyperglycemic medication? Yes/ no? If so, what are the contraindications? Yes-Impaired renal function (GFR30), liver dz, ETOH abuse, unstable or acute HF, past hx of lactic acidosis during metformin therapy, decreased tissue perfusion or hemodynamic instability due to infections or other causes A 10-year-old boy has type 1 DM. His late afternoon blood sugars over the past 2 weeks have ranged from 210 to 230. HE currently injects 10 units of regular insulin and 25 unites of NPH in the am. And 15 units of regular insulin and 10 units of NPH in the evening. Which of the following is the best treatment plan for this patient? A. Increase both types of morning dose B. Increase only the NPH insulin in the am C. Decrease the afternoon dose of NPH D. Decrease both NPH and regular insulin in the am Increase only the NPH insulin in the am A 21-year-old new mother reports that she has been feeling irritable and jittery almost daily for the past few months. She complaints of frequent palpitations and more frequent bowel movements along with weight loss. Her BP is 160/70 mmHg, pulse is 110 bpm, and is afebrile. All of the following conditions should be considered in the differential diagnosis for this patient except: A. Mitral regurgitation B. Grave's Disease C. Generalized anxiety disorder D. Illicit drug use Mitral regurgitation A 28-year-old woman with history of hypothyroidism presents to urgent care clinic complaining of numbness and tingling in the fingertips of both her hands for several hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient reports that over the past few months she has had identical episodes, each lasting several hours. During these episodes, the skin changes color from blue to white, and then to dark red. Eventually, it returns to normal and the tingling and numbness disappear. Which of the following conditions is best described? A. Hashimoto's disease B. Raynaud's phenomenon C. Peripheral neuropathy D. Vitamin B 12 deficiency anemia. Raynaud's phenomenon A 30-year-old woman with type 2 DM uses regular and NPH insulin the am and in the evening. She denies changes to her diet or any illness but recently started attending aerobic classes in the afternoon. Her fasting blood glucose level before breakfast and is now elevated. Which of the following is best described? A. Somogyi phenomenon B. Dawn phenomenon C. Raynaud's phenomenon