Review Questions for Nurs623 Exam 2 With updated solutions

antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to: -ANSWER- Add a dosage of long-acting insulin at bedtime to the regimen. Alice, age 48, has a benign thyroid nodule. The most common treatment involves: -ANSWER- Watchful waiting with an annual follow-up Which of the following is a sign of hypothyroidism? -ANSWER- Brittle Hair 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 (Glucophage). An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? -ANSWER- Atrial fibrillation, depression, and 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 circulating 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 the a.m. insulin. 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? -ANSWER- "Let's try it. You're glycohemoglobin will be lowered and you may lose weight." Which is the only treatment option that is curative for primary hyperparathyroidism? -ANSWER- Parathyroidectomy