MARYVILLE NURS 623 EXAM 2
Which of the serum laboratory findings are present in the client with Cushing's
syndrome? - Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: -
Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - 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? - metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the
following manifestations are commonly seen in the elderly with hyperthyroidism? - 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? -
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? - 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? - "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? -
parathyroidectomy
The most common worldwide cause of hypothyroidism is: - iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - 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 - ADD LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in
her diet? - Broccoli
What controls the amount of calcium in the blood? - Parathyroid
Thyroid hormones regulate - metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - t3 & Free T4
(preferred over T4)
What are the hallmark signs of Grave's disease? - enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? - ULTRASOUND
What is the diagnostic screening for thyroid cancer? - FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy - Propylthiouracil
(PTU):
Before starting anti-thyroid meds what should be checked? - LIVER FUNCTIONS
what is the goal of thyroid treatment - euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? - hyperglycemia;
cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid hormones? - T3 & T4
What are S/S of hyperthyroidism? - "Hot/buldging/fast" heat intolerance, eye buldge,
tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? - "cold, slow, tired" cold intolerance, slow speech,
fatigue, lethargy, weight gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? - Graves disease
Name the two thyroid hormones produced by the thyroid gland? - T3 & T4
Name the hormone produced by the pituitary gland, state the purpose of the hormone -
TSH; regulate the production of hormones by the thyroid gland
Which of the serum laboratory findings are present in the client with Cushing's
syndrome? - Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: -
Watchful waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - 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? - metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the
following manifestations are commonly seen in the elderly with hyperthyroidism? - 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? -
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? - 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? - "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? -
parathyroidectomy
The most common worldwide cause of hypothyroidism is: - iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - 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 - ADD LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in
her diet? - Broccoli
What controls the amount of calcium in the blood? - Parathyroid
Thyroid hormones regulate - metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - t3 & Free T4
(preferred over T4)
What are the hallmark signs of Grave's disease? - enlarged thyroid and increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? - ULTRASOUND
What is the diagnostic screening for thyroid cancer? - FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy - Propylthiouracil
(PTU):
Before starting anti-thyroid meds what should be checked? - LIVER FUNCTIONS
what is the goal of thyroid treatment - euthyroid state
What are signs and symptoms of hypothyroidism overtreatment? - hyperglycemia;
cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid hormones? - T3 & T4
What are S/S of hyperthyroidism? - "Hot/buldging/fast" heat intolerance, eye buldge,
tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? - "cold, slow, tired" cold intolerance, slow speech,
fatigue, lethargy, weight gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? - Graves disease
Name the two thyroid hormones produced by the thyroid gland? - T3 & T4
Name the hormone produced by the pituitary gland, state the purpose of the hormone -
TSH; regulate the production of hormones by the thyroid gland
