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MARYVILLE NURS 623 EXAM 2 VERIFIED QUESTIONS & ANSWERS 1. MARYVILLE NURS 623 EXAM 2 study guide with verified answers 2. Where to find MARYVILLE NURS 623 EXAM 2 practice questions 3. MARYVILLE NURS 623 EXAM 2 sample questions and solutions 4. How to prepare for MARYVILLE NURS 623 EXAM 2 with verified materials 5. MARYVILLE NURS 623 EXAM 2 review materials with answers 6. MARYVILLE NURS 623 EXAM 2 question bank with explanations 7. Tips for passing MARYVILLE NURS 623 EXAM 2 with verified resources 8. MARYVILLE NURS 623 EXAM 2 verified answer key 9. MARYVILLE NURS 623 EXAM 2 study strategies and verified content 10. Where to buy MARYVILLE NURS 623 EXAM 2 verified test bank 11. MARYVILLE NURS 623 EXAM 2 verified flashcards and study aids 12. How to ace MARYVILLE NURS 623 EXAM 2 using verified questions 13. MARYVILLE NURS 623 EXAM 2 verified practice tests online 14. MARYVILLE NURS 623 EXAM 2 study group with verified materials MARYVILLE NURS 623 EXAM 2 verified question and answer PDF
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Cushing's syndrome? ANS Increased cortisol, HYPERnatremia, and HYPOkalemia
involves ANS Watchful waiting with an annual follow-up
ANS persistent proteinuria
on therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as monotherapy? ANS metformin
toms. Which of the following manifestations are commonly seen in the el- derly with hyperthyroidism? ANS a-fib, depression, weight loss
cortisone 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?
ANS excessive levels of cortisol
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? ANS increase A.M. insulin
getting his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you tell him? ANS "Let's try it. You're glycohemoglobin will be lowered and you may lose weight."
parathyroidism? ANS parathyroidectomy
ANS iodine deficien- cy
roidism? ANS chvostek's sign
and oral antidiabetic agents, is insufficient to achieve acceptable glycemic control. Your next course of action is to ANS ADD LONG-ACTING INSULIN
ANS hyper- glycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
mones? ANS T3 & T
ANS "Hot/buldging/fast" heat intolerance, eye buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
ANS "cold, slow, tired" cold intolerance, slow speech, fatigue, lethargy, weight gain, constipation, brittle nail/hair
ANS Graves disease
the hormone ANS TSH; regulate the production of hormones by the thyroid gland
They are used as a treatment to reduce the level of hormone on initiation of radioactive iodine therapy,( not used as primary or sole treatment) ANS - ANTI-THYROID MED (Propylthiouracil (PTU) Methimazole (MMI)
the thyroid gland to differentiate between Grave's disease and subacute thyroiditis and toxic nodular goiters? ANS RADIO IODINE UPTAKE SCAN
tion)?
What is the reliable method of diagnosis? ANS PAINLESS LUMP OR NODULE IN THE NECK; FINE NEEDLE BIOPSY
there is dysfunction or atrophy of the thyroid gland due to failure of pituitary and/or hypothalamus? ANS CENTRAL HYPOTHYROIDISM
cognitive thinking, poor short-term memory, depression or dementia, hy- potension and hypothermia with a mortality rate of 30-40%? ANS MYXEDEMA (SEVERE HYPOTHYROIDISM)
nerve 2 cm anterior to ear canal is considered a positive sign; what does it indicate? ANS CHVOSTEK'S SIGN; HYPOCALCEMIA
roidism? ANS CALCIUM STARTS BECOMING HIGH
cortical hypertrophy from a tumor of the adrenal gland or heavy use of glucosteriods ANS CUSHING'S SYNDROME
ANS Profound fatigue dehydration vascular collapse (“B/P) renal shutdown
(select all that apply) -FASTING BLOOD (PLASMA) GLUCOSE -HGA1C -ORAL GLUCOSE TOLERANCE TEST ANS -FASTING BLOOD (PLASMA) GLU- COSE -HGA1C -ORAL GLUCOSE TOLERANCE TEST
choice oral hyperglycemic medication? If so, what are the contraindica- tions? ANS -LIVER DISEASE
sation; (MORE IN TYPE I DM) S/S ANS HYPERGLYCEMIA, KETONEMIA, ACIDOSIS; ANOREXIA, THIRST, N/V, ABDO CRAMP, KUSSMAUL RESP, DEHYDRATED, ALTERED CONSCIOUS- NESS ANS DKA
with? ANS DKA
ANS polydipsia, polyuria, polyphagia, anorexia, and weight loss.
first choice oral antihyperglycemic medicine long term and complains of neuropathy? Why? (hint hematological) ANS ÏVitamin B12 annually (CAN CAUSE B12 DEF)
health of patients with DM2 (consider co-morbidities)? ANS CMP (liver, kidney, glucose), Lipids, serum creatinine, and urine albumin
ANS 6 to 12 ounces of orange juice or another fruit juice without additional sugar. One cup (8 oz) of milk can be substituted if juice is not available. Glucose tablets, If available
start insulin for DM2, what type of insulin would you select and how would you initiate their dosing regimen? ANS A1C <8% BASAL (LONG ACTING) 0.1-0.2 U/KG
great toe. Precipitated by weekend of binge drinking. What is the likely diagnosis? ANS GOUT
ANS elevated serum uric acid levels, ESR and WBCs;
ANS COLCHICINE 1.2mg PO X 1 then 0.6mg in 1 hour (within 36 hrs of onset up to 0.6 mg) NSAIDs, AND CORTICOSTEROIDS; rest, elevation, immobilization
further attacks of prophylaxis? ANS ALLOPURINOL (wait 4-6 week to after acute attack to start)