VERIFIED Q&A
, 1. Which of the serum laboratory findings are present in the client with Cushing's
syndrome?: Increased cortisol, HYPERnatremia, and HYPOkalemia
2. Alice, age 48, has a benign thyroid nodule. The most common treatment involves::
Watchful waiting with an annual follow-up
3. ACE inhibitors are given to clients with diabetes who have: persistent proteinuria
4. 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?: metformin
5. An elderly client with hyperthyroidism may present with atypical symp- toms. Which of
the following manifestations are commonly seen in the el- derly with hyperthyroidism?: a-
fib, depression, weight loss
6. Diane has had Cushing's disease for 20 years and has been taking hydro- cortisone 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?: excessive levels of cortisol
7. 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?:
increase A.M. insulin
8. 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?: "Let's try it. You're glycohemoglobin will be lowered and you
may lose weight."
9. Which is the only treatment option that is curative for primary hyper-
parathyroidism?: parathyroidectomy
10. The most common worldwide cause of hypothyroidism is:: iodine deficien- cy
11. What should be assessed for during exam on pt with HYPOparathy- roidism?:
chvostek's sign
12. 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
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