NUR 612 EXAM 3 QUESTIONS COMPLETE AND CORRECT ANSWERS

NUR 612 EXAM 3 QUESTIONS COMPLETE AND CORRECT ANSWERS Mrs. Borden is 67 years old and her primary care physician wants her to be seen by a nurse practitioner who specializes in geriatric issues. On completing the interview and examination, the nurse practitioner tells Mrs. Borden that she will order a blood laboratory specimen for thyroid function and pancreatic function. Mrs. Borden asks what the reason is. Which of the following is the nurse practitioner's best response? 1. Diabetes is more common in older patients. 2. Thyroid issues are less common in older patients. 3. These are common tests to be done on any new patient. 4. These tests are necessary to obtain baseline information. 4. These tests are necessary to obtain baseline information. Mr. Jones is 70 years old and sees the nurse practitioner for a yearly checkup. He states that he needs to urinate a lot and seems to always be thirsty. He also finds himself gaining some weight. In the process of the examination, the nurse practitioner detects that he is vague in his answers. Which of the following may be the reason? 1. Mr. Jones is cold and bundled in a sweater. 2. There is no family history of diabetes. 3. The symptoms seem to have appeared slowly. 4. He does not want to admit to eating too much 3. The symptoms seem to have appeared slowly. Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type 2 diabetes. Because symptoms of endocrine disorders in older adults are vague, which of the following questions is best to ask? 1. Do you have any trouble carrying out your daily activities? 2. Can you tell me what you ate yesterday? 3. Have you seen a dentist in the last year? 4. Have you noticed that you have less hair? 1. Do you have any trouble carrying out your daily activities? Mrs. Smith, 80 years old, has been vomiting and having bouts of loose stools for several days. She is taking several medications that are prescribed. The nurse practitioner conducts a medication review because: 1. An accounting of all prescribed and over-the-counter (OTC) medications may uncover reasons for her symptoms. 2. There could be drug-drug interactions leading to her symptoms. 3. Side effects of the gastrointestinal tract are not seen in many medications. 4. The administration of some of her medications may be appropriate. 2. There could be drug-drug interactions leading to her symptoms. Mr. Jameson, 75 years old, comes to the clinic with complaints of severe sharp epigastric pain that radiates to his back. He has been nauseous and has vomited three times today. The nurse practitioner suspects which of the following? 1. Appendicitis 2. Gastrointestinal influenza 3. Acute pancreatitis 4. Insulin shock 3. Acute pancreatitis The nurse practitioner is working in the emergency department and is called to assist with the diagnosis of a patient who just came in. Mr. Barn is 76 years old and complains of abdominal pain, and his serum amylase and lipase are three times the normal limit. The nurse practitioner confirms pancreatitis, as this meets which criteria? 1. CT severity index 2. Atlanta classification 3. APACHE II 4. Ranson criteria 3. APACHE II Ms. Jenny is 72 years old and has managed her type 2 diabetes for 30 years. This condition is costly to her in more than one way. Which complications are common? 1. Financial challenges. 2. Good visual acuity. 3. Good renal functioning. 4. Increased circulation to lower extremities 1. Financial challenges. The APRN is ordering tests to confirm her suspicion of pancreatic cancer. Which of the following findings would confirm her suspicions? Select all that apply. 1. Trypsinogen activation peptide (TAP). 2. Blood urea nitrogen (BUN), creatinine, glucose. 3. An abdominal x-ray. 4. Amylase and lipase amount three times the normal. 5. Stool culture. 1. Trypsinogen activation peptide (TAP). 2. Blood urea nitrogen (BUN), creatinine, glucose. 3. An abdominal x-ray. 4. Amylase and lipase amount three times the normal. 5. Stool culture. John Brown, 60 years old, asks the nurse practitioner if a lack of functioning insulin is the only cause of diabetes. Which of the following is the nurse practitioner's reply? Select all that apply. 1. More recently, other hormones have been found to be part of diabetes. 2. Besides insulin, glucagon, amylin, and incretin are involved. 3. Finding other factors of diabetes has resulted in new treatments. 4. The pancreas is not the only organ involved in diabetes. 5. Genetic factors lead to type 1 diabetes only. 1. More recently, other hormones have been found to be part of diabetes. 2. Besides insulin, glucagon, amylin, and incretin are involved. 3. Finding other factors of diabetes has resulted in new treatments. 4. The pancreas is not the only organ involved in diabetes. 5. Genetic factors lead to type 1 diabetes only. Mr. Ed, 46 years old, experienced a mild stroke and was hospitalized through the emergency room. The general work-up showed that his blood glucose was 300 mg/dl. He denied knowing that his sugar was so high. He did report frequency of urination and polyphagia. On further examination, the nurse practitioner asked about family history, and he identified that his mother and grandfather both had adult-onset diabetes. Although he is under 65 years old, the nurse practitioner teaches him which of the following? Select all that apply. 1. A urine sample that shows ketones in the urine, his age, and his body mass index (BMI) will tell if he is a type 1 or type 2 diabetic. 2. Having the mild stroke is connected to having diabetes. 3. Medications could be associated with diabetes. 4. Because he had a family history of type 2 diabetes, he should have been screened every