NR 601 Week 5: Test Your Knowledge - Questions And Answers To Score An A Grade

Due Feb 7 at 11:59pm • Points 10 • Questions 5 • Available Jan 31 at 10pm - Feb 7 at 11:59pm 7 days • Time Limit 7 Minutes Instruction s The late assignment policy does not apply to quizzes and exams. All quizzes and exams close at the time they are due. For quizzes and exams not submitted by the specified due date and time, a score of zero will be assigned. The Week 5 practice quiz has 5 questions (multiple choice- worth two points each). You will have one attempt. The Week 5 practice quiz must be completed by Sunday, 11:59 p.m. MT at the end of Week 5. Attempt History Attempt Time LATEST Attempt 1 7 minutes Score for this quiz: 10 out of 10 Submitted Feb 4 at 9:52am This attempt took 7 minutes. The nurse practitioner student is reviewing the lab results from an annual exam. The CMP fasting glucose was 128 mg/dL. The patient does complain of polyphagia. What is the nurse practitioner student's next action? repeat fasting glucose in 3 months Repeat fasting glucose in 1 week. Prescribe Metformin 500 mg once a day. Order a HGA1C today. Rationale: A fasting plasma glucose > 126 mg/dL requires further testing. In the absence of unequivocal hyperglycemia, result should be confirmed by repeat testing. A HgbA1C is the correct answer because the repeat testing should be completed without delay. Retesting in a week or a year is a delay. Metformin should not be initiated until the diagnosis is confirmed. Dunphy p.925 Which of the following laboratory results meets criteria for diagnosis of diabetes? positive urine ketones random glucose greater than 200 mg/dL with classic symptoms of hyperglycemia Hgb A1C 6.4% random blood glucose greater than 126 mg/dL with classic symptoms of hyperglycemia The criterion for the diagnosis of diabetes is either two fasting blood glucose readings with results greater than or equal to 126 mg/dL or a random blood glucose reading greater than or equal to 200 mg/dL if symptoms of diabetes are present. Random glucose is not the appropriate test. In older adults, the glucose reading after a 2-hour oral glucose tolerance test (OGTT) rises more rapidly than the fasting glucose. Kennedy p.370 Which of the following occurs commonly in Type 2 diabetes? elevated high density lipoprotein cholesterol (HDL) anorexia yeast infection fluid overload Persons with diabetes are at increased risk of all types of infection, especially yeast infection. T2DM patients are obese, not anorexic. The LDL is elevated due to the dyslipidemia. HDL is the good cholesterol, we would want that level to be elevated. Dunphy p.924 A newly diagnosed patient with Type 2 diabetes mellitus (DM) is 66 inches in height. The patient's weight is 200 lbs, and the A1c is 7.1%. What is the best initial treatment? diet, exercise, and insulin diet, exercise, and metformin no treatment necessary at this time diet and exercise At 66 in and a weight of 200 lbs. the patient has a BMI of 32.3. If you did not have an ability to calculate, the weight of 200 is higher than a normal BMI. The ADA and AACE recommend that patients with recent onset T2DM (A1C < 7.5%) start with lifestyle changes and monotherapy. Dunphy p.927 Which Statement, made by a patient with Type 1 Diabetes, indicates successful teaching regarding general guidelines for exercise? “I will check my blood glucose before, every 30-60 minutes during, and after I'm done exercising.” “I should eat more carbohydrates if my blood glucose is less than 200.” “I will not exercise if my blood sugar is 215.” "I will exercise when my urine ketones are positive, but blood sugar is 260." Rationale: The metabolic adjustments that maintain normal glucose levels are impaired in T1DM. Exercise can exacerbate hyperglycemia if the patient has too little insulin available. Review the guidelines listed on Dunphy p. 919. Check blood sugar before, every 30 to 60 minutes during, and after exercise. Quiz Score: 10 out of 10 PreviousNext Submission Details: