MARYVILLE NURS 623 EXAM 2 questions with correct answers

Which of the serum laboratory findings are present in the client with Cushing's syndrome? Answer Increased cortisol, HYPERnatremia, and HYPOkalemia Alice, age 48, has a benign thyroid nodule. The most common treatment involves: Answer Watchful waiting with an annual follow-up ACE inhibitors are given to clients with diabetes who have Answer persistent proteinuria 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? Answer metformin An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? Answer a-fib, depression, weight loss Diane has had Cushing's disease for 20 years and has been taking hydrocortisone 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? Answer excessive levels of cortisol 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? Answer increase A.M. insulin