MARYVILLE NURS 623 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION

MARYVILLE NURS 623 EXAM 2

Which of the serum laboratory findings are present in the client with Cushing's

syndrome?

Correct answer- Increased cortisol, HYPERnatremia, and HYPOkalemia

Alice, age 48, has a benign thyroid nodule. The most common treatment involves:

Correct answer- Watchful waiting with an annual follow-up

ACE inhibitors are given to clients with diabetes who have Correct 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?

Correct 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?

Correct 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?

Correct 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?

Correct 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?

Correct 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?

Correct answer- parathyroidectomy

The most common worldwide cause of hypothyroidism is:

Correct answer- iodine deficiency

What should be assessed for during exam on pt with HYPOparathyroidism?

Correct 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

Correct 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?

Correct answer- Broccoli

What controls the amount of calcium in the blood?

Correct answer- Parathyroid

Thyroid hormones regulate

Correct answer- metabolism

Which tests should you order to confirm a diagnosis of hypothyroidism?

Correct answer- t3 & Free T4 (preferred over T4)

What are the hallmark signs of Grave's disease?

Correct answer- enlarged thyroid and increased T3

What is the gold standard screening for thyroid TUMOR/NODULE?

Correct answer- ULTRASOUND

What is the diagnostic screening for thyroid cancer?

Correct answer- FINE NEEDLE BIOPSY

What is the preferred treatment of Grave's disease in pregnancy

Correct answer- Propylthiouracil (PTU):

Before starting anti-thyroid meds what should be checked?

Correct answer- LIVER FUNCTIONS

what is the goal of thyroid treatment

Correct answer- euthyroid state

What are signs and symptoms of hypothyroidism overtreatment?

Correct answer- hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency;

increased myxedema.

Hyperthyroidism causes an excessive secretion of which thyroid hormones?