NR565 FINAL EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS

How to confirm a diagnosis of DM before beginning treatment: --CORRECT ANSWER: Fasting plasma glucose above 126. A random plasma glucose of over 200 plus symptoms of diabetes, an oral glucose tolerance test of two hours, plasma glucose of over 200, or an A1C higher than 6.5. A1c general goals --CORRECT ANSWER: <7, patients that experience severe hypoglycemia/have a limited life expectancy may have an A1C goal of <8. A1c older adults --CORRECT ANSWER: <8, those with multiple coexisting chronic illnesses, cognitive impairment or functional dependence should have less stringent glycemic goals such as <8.0-8.5. When should insulin be considered? --CORRECT ANSWER: For treatment of persistent hyperglycemia starting at a threshold of >180. Early introduction of insulin should be considered if there is evidence of ongoing weight loss, if symptoms of hyperglycemia are present, or whena1c levels >10% or BGS >300 At what time interval should A1c be re-checked? How often should an A1C be monitored when stable or when unstable? --CORRECT ANSWER: Every 2-3 months and a max of 4 times a year. If <7, every 6 months. At least two times a year if meeting goals and quarterly if meds have changed or not meeting goals. Action of Insulin --CORRECT ANSWER: Anabolic, energy conservation, promotes cellular growth and division.