MARYVILLE NURS 623 EXAM 2
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
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
The most common worldwide cause of hypothyroidism is: - ANSWER: iodine deficiency
, What should be assessed for during exam on pt with HYPOparathyroidism? - ANSWER: chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is
insufficient to achieve acceptable glycemic control. Your next course of action is to - ANSWER: ADD LONG-
ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? - ANSWER:
Broccoli
What controls the amount of calcium in the blood? - ANSWER: Parathyroid
Thyroid hormones regulate - ANSWER: metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - ANSWER: t3 & Free T4 (preferred
over T4)
What are the hallmark signs of Grave's disease? - ANSWER: enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? - ANSWER: ULTRASOUND
What is the diagnostic screening for thyroid cancer? - ANSWER: FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy - ANSWER: Propylthiouracil (PTU):
Before starting anti-thyroid meds what should be checked? - ANSWER: LIVER FUNCTIONS
what is the goal of thyroid treatment - ANSWER: euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? - ANSWER: hyperglycemia; cardiac
arrhythmias (Afib); adrenal insufficiency; increased myxedema.
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
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
The most common worldwide cause of hypothyroidism is: - ANSWER: iodine deficiency
, What should be assessed for during exam on pt with HYPOparathyroidism? - ANSWER: chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is
insufficient to achieve acceptable glycemic control. Your next course of action is to - ANSWER: ADD LONG-
ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? - ANSWER:
Broccoli
What controls the amount of calcium in the blood? - ANSWER: Parathyroid
Thyroid hormones regulate - ANSWER: metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - ANSWER: t3 & Free T4 (preferred
over T4)
What are the hallmark signs of Grave's disease? - ANSWER: enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? - ANSWER: ULTRASOUND
What is the diagnostic screening for thyroid cancer? - ANSWER: FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy - ANSWER: Propylthiouracil (PTU):
Before starting anti-thyroid meds what should be checked? - ANSWER: LIVER FUNCTIONS
what is the goal of thyroid treatment - ANSWER: euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? - ANSWER: hyperglycemia; cardiac
arrhythmias (Afib); adrenal insufficiency; increased myxedema.
