Module 6 NURS 5334 rated A+ to pass!

Module 6 NURS 5334 rated A+ to pass!Which of the following medications can be used to treat gestational diabetes? Check all that apply. • A. Metformin • B. Glucotrol • C. Pioglitazone • D. Sitagliptin • E. Insulin metformin, insulin What is the 4 step approach in the treatment of DM type 2? • Step 1: lifestyle + metformin • Step II: continue step 1 and add second drug • Step 3 : step up to 3 drug combination (including metformin) • Step 4: more complex insulin regimen • John comes in with random glucose of 250? Does any further testing for DM need to be done? no • Jane has type 1 diabetes and is taking a beta blocker. What does she need to be aware of? • A. Beta blockers increase glycogenolysis and help the body counteract a fall in glucose. • B. Beta blockers impair glycogenolysis and glycogenolysis is a means which the body can respond to and counteract a fall in blood glucose. • C. Beta blockers can make a patient more aware of hypoglycemia • D. Beta blockers have no effect on glycogenolysis • B. Beta blockers impair glycogenolysis and glycogenolysis is a means which the body can respond to and counteract a fall in blood glucose. • Gina is taking Canagliflozin for her diabetes. The NP tells her this may increase her risk for: • A. Hypoglycemia • B. Decreased urination • C. UTIs • D. Hypothyroidism • C. UTIs SGLT 2 inhibitors should not be given if GFR <35. T or F. True • Optimally at what interval should the TSH be reassessed after a Levothyroxine dosage is adjusted? • 1 2 weeks • 2 4 weeks • 4 6 weeks • 6 8 weeks 6-8 weeks • Which of the following can induce thyroid dysfunction? • A. Sertraline • B. Amiodarone • C. Carvedilol • D. Fluoxetine Amiodarone • Irma is an 80 year old with CAD. She has an elevated TSH with a low free T4. she weighs 80 kg. What dosage of levothyroxine are you going to initiate? • A. 12.5 25 mcg • B. 25 50 mcg • C. 50 75 mcg • 75 100 mcg 12.5-25 mcg Stacy is a 30 year old that has elevated TSH and low Free T4. Her weight is 100 lbs. What dose of levothyroxine will you give? • A. 25 mcg • B. 50 mcg • C. 75 mcg • D. 88 mcg C. 75 mcg • Jane is in her first trimester of pregnancy and has symptomatic hyperthyroidism. What is the endocrinologist going to prescribe? • A. radioactive iodine • B. Methimazole • C. Propylthiouracil • D. Liotrix C. Propylthiouracil • Mary is postmenopausal is having severe vasomotor symptoms. She has a uterus. She would like to start on hormones. The NP: • A. Will start her on estrogen alone. • B. Will start her on estrogen and progesterone • C. Will start her on Tamoxifen • D. Nothing. She should not take hormones • B. Will start her on estrogen and progesterone Julie is wanting to start OCPs but would like to discontinue in 1 year to try for pregnancy. The NP will prescribe: • A. Beyaz • B. Lo Estrin • C. Nuvaring • D. Depo provera injections • A. Beyaz due to having added folic acid • Lisa has migraines with Aura. You are discussing contraception. You recommend: • A. oral contraceptives • B. Mirena IUD • C. Nothing. She should not use any contraception • D. Low estrogen pills • B. Mirena IUD • One of the main reasons women stop progestin only pills: • A. Acne • B. Weight gain • C. Break through bleeding • D. Breast pain C. Break through bleeding • Sally is post menopausal and has been having frequent UTIs. The NP: • A. recommends taking Nitrofurantoin 1 tablet daily • B. TMP/SMZ 1 tablet daily • C. Vaginal estrace 1 gram vaginally weekly • D. Nothing. This is part of menopause • C. Vaginal estrace 1 gram vaginally weekly David is prescribed Sildenafil for ED. Side effects can be: Check all that apply • A, ischemic optic neuropathy • B. Hearing loss • C. priapism • D. Weight gain • E. Red urine • F. Delayed ejaculation • A, ischemic optic neuropathy • B. Hearing loss • C. priapism • What are possible side effects of Testosterone? Check all that apply • A. Disorders of the liver • B. prostate cancer • C. Edema • D. Abuse Potential • E. Elevated LDL and decreased HDL • F. Hair loss • A. Disorders of the liver • B. prostate cancer