NURS 623 EXAM 2 QUESTIONS AND
ANSWERS 100% CORRECT!
, When starting a patient on insulin, what type and what dose? - ANSWER NPH and start
with 10 units
Appropriate drug class/medication for DM2? - ANSWER biguanide/Metformin
Labs for a patient with Graves? - ANSWER low TSH, high T4,T3
Contraindications for metformin? - ANSWER Renal disease, liver disease, alcoholics
Education for foot care in DM? - ANSWER Check feet daily, wear socks and shoes,
keep lotion on them, trim toenails straight across.
Education for eye care for DM? - ANSWER Annual eye exams.
Therapy for Graves? - ANSWER PTU (preferred in pregnancy)or methimazole, RAIU for
elderly
Primary cause of mortality in DM? - ANSWER ischemic heart failure
In DM, before starting therapy, what do you need to know? - ANSWER renal function,
compliance, cardiac history
After taking levothyroxine for 6 months, what happens to labs? - ANSWER Normal TSH
or trending down
Based on A1C, how do you treat? - ANSWER >7.5-8 start treatment, <7.5 may do
lifestyle modifications for 3 months
Education regarding sulfonylurea? - ANSWER Use shorter acting such as glipizide,
glimepiride.
How would you treat a thyroid nodule? - ANSWER TSH, Ultrasound
Testing for Graves? - ANSWER Low TSH, High T4/T3, + TSI
Testing for HashimotOs? - ANSWER High TSH, Low T4/T3, +TSO
ANSWERS 100% CORRECT!
, When starting a patient on insulin, what type and what dose? - ANSWER NPH and start
with 10 units
Appropriate drug class/medication for DM2? - ANSWER biguanide/Metformin
Labs for a patient with Graves? - ANSWER low TSH, high T4,T3
Contraindications for metformin? - ANSWER Renal disease, liver disease, alcoholics
Education for foot care in DM? - ANSWER Check feet daily, wear socks and shoes,
keep lotion on them, trim toenails straight across.
Education for eye care for DM? - ANSWER Annual eye exams.
Therapy for Graves? - ANSWER PTU (preferred in pregnancy)or methimazole, RAIU for
elderly
Primary cause of mortality in DM? - ANSWER ischemic heart failure
In DM, before starting therapy, what do you need to know? - ANSWER renal function,
compliance, cardiac history
After taking levothyroxine for 6 months, what happens to labs? - ANSWER Normal TSH
or trending down
Based on A1C, how do you treat? - ANSWER >7.5-8 start treatment, <7.5 may do
lifestyle modifications for 3 months
Education regarding sulfonylurea? - ANSWER Use shorter acting such as glipizide,
glimepiride.
How would you treat a thyroid nodule? - ANSWER TSH, Ultrasound
Testing for Graves? - ANSWER Low TSH, High T4/T3, + TSI
Testing for HashimotOs? - ANSWER High TSH, Low T4/T3, +TSO
