NR 601 WEEK 5 QUIZ Test Your Knowledge

Question 1 2 / 2 pts 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. Correct! 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 Question 2 2 / 2 pts Which of the following laboratory results meets criteria for diagnosis of diabetes? This study source was downloaded by from CourseH on :44:46 GMT -05:00 positive urine ketones Correct! 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 Question 3 2 / 2 pts Which of the following occurs commonly in Type 2 diabetes?