1. Dan, age 45, is obese and has type 2 diabetes. He has D. "Let's try it.
You're gly- been having trouble getting his glycohemoglobin un-
hemoglobin will be low- der control. He's heard that exenatide
(Byetta) causes ered and you may lose
weight loss and wants to try it. What do you A. Increase
tell him? the
dosage.
A. "Let's adjust your oral antidiabetic agents B. Maintain
instead." her
B. "That's a myth. People usually change their establish
eating habits when taking this, and that's ed
dosage.
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."
2. 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 main- tained 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.
3. 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?
, NSG 623/624 Exam 2 correctly answered to pass
weight."
C. At least four times a day.
A. Increase the dosage.
,NSG 623/624 Exam 2 correctly answered to pass
C. Decrease her dosage.
D.Increase the dosage during the first
trimester, then decrease it during the second
and third trimesters.
B. Add a nighttime
4. Morton has type 2 diabetes. His treatment, dosage of long-acting
which includes diet, exercise, and oral insulin to the
antidiabetic agents, is insufficient to achieve regimen.
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. C. Speaking ability.
5. After a subtotal thyroidectomy, it is crucial to
assess:
A. Heart tones.
B. For peripheral edema.
C. Speaking ability.
D. Skin turgor.
6. Jane has insulin-dependent diabetes mellitus and has C. Add physical
activity be-
been experiencing hyperglycemia before insulin.
dinner. A possible solution to this problem is B. Increase
to: her
midaftern
A. Adjust her morning dose of rapid-acting oon
, NSG 623/624 Exam 2 correctly answered to pass
snack. tween lunch and dinner.
C. Add physical activity between lunch and
dinner.
D. Reduce the amount of carbohydrates at
dinner.
7.