NSG 623/624 Exam 2 QUESTIONS WITH VERIFIED ANSWERS

glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you tell him? A. "Let's adjust your oral antidiabetic agents instead." B. "That's a myth. People usually change their eating habits when taking this, and that's what causes the weight loss." C. "With type 2 diabetes, you never want to be on injectable insulin." D. "Let's try it. You're glycohemoglobin will be lowered and you may lose weight." -ANSWER- D. "Let's try it. You're glycohemoglobin will be lowered and you may lose weight." When teaching Marcy how to use her new insulin pump, you tell her that she needs to monitor her blood glucose level: A. At least once a day. B. Only occasionally because glycemic levels are maintained very steadily. C. At least four times a day. D. On an as-needed basis when she feels she needs to give herself an extra dose of insulin. -ANSWER- C. At least four times a day. Minnie is pregnant. She has hypothyroidism and has been on the same levothyroxine medication for years. What might you expect to do with her levothyroxine medication? A. Increase the dosage. B. Maintain her established dosage. C. Decrease her dosage. D. Increase the dosage during the first trimester, then decrease it during the second and third trimesters. -ANSWER- A. Increase the dosage. 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: A. Increase the dosage of the oral antidiabetic agents. B. Add a nighttime dosage of long-acting insulin to the regimen. C. Discontinue the oral antidiabetic agents and start insulin therapy. D. Suggest treatment using an insulin pump. -ANSWER- B. Add a nighttime dosage of long-acting insulin to the regimen. After a subtotal thyroidectomy, it is crucial to assess: A. Heart tones. B. For peripheral edema. C. Speaking ability. D. Skin turgor. -ANSWER- C. Speaking ability. Jane has insulin-dependent diabetes mellitus and has been experiencing hyperglycemia before dinner. A possible solution to this problem is to: A. Adjust her morning dose of rapid-acting insulin. B. Increase her midafternoon snack. C. Add physical activity between lunch and dinner. D. Reduce the amount of carbohydrates at dinner. -ANSWER- C. Add physical activity between lunch and dinner. Why is parathyroid hormone secretion increased during pregnancy? A. To meet the increased stress demands on the mother B. To meet the increased requirements for calcium and vitamin D for fetal skeletal growth C. To help prevent neural tube defects in the fetus D. To help promote neurological growth of the developing brain in the fetus -ANSWER- B. To meet the increased requirements for calcium and vitamin D for fetal skeletal growth