NRNP 6531 Endocrine
Which of the following findings is associated with thyroid hypofunction? - correct answers Myxedema
A 30-year-old woman with
... [Show More] type 2 diabetes uses regular and NPH (neutral protein Hagedorn) insulin in the morning and in the evening. She denies changes in her diet or any illness, but recently started attending aerobic classes in the afternoon. Her fasting blood glucose level before breakfast is now elevated. Which of the following is best described? - correct answers Somogyi phenomenon
A 65-year-old man presents to the clinic complaining of random recurrent episodes of dizziness with nausea. The patient describes it as the sensation of the room moving or of the room spinning. It is worsened by sudden head movement. During the episodes, he becomes very nauseated. He also has tinnitus with hearing loss in his right ear. The patient has type 2 diabetes and is on a prescription of metformin 500 mg PO BID and an angiotensin-converting enzyme (ACE) inhibitor. The blood glucose level during his visit is 80 mg/dL. Which of the following conditions is most likely? - correct answers Meniere's disease
The Somogyi effect is characterized by which of the following? - correct answers It is characterized by high fasting blood glucose in the morning that is caused by the secretion of glucagon
A 35-year-old woman is complaining of gradual weight gain, lack of energy, and amenorrhea. The urine pregnancy test is negative. A complete blood count (CBC) shows hemoglobin of 13.5 g/dL and mean corpuscular volume (MCV) of 84 fL. The nurse practitioner suspects that the patient may have hypothyroidism. The thyroid-stimulating hormone (TSH) level is 10 mU/L. Which of the following is the next step in the evaluation? - correct answers Check the thyroid profile
The nurse practitioner who suspects that one of her hypertensive patients has Cushing's syndrome would expect to find which of the following laboratory results? - correct answers Elevated serum cortisol levels
The American Diabetes Association (ADA) now prefers a spot urine for the microalbumin-to-creatinine ratio (ACR) test instead of a urine albumin test. Use the first morning void sample. The ACR has high predictive value for albuminuria and early kidney disease in patients with prediabetes, diabetes, and hypertension (McCulloch & Bakris, 2016). Because the patient has type 2 diabetes, both an annual urinalysis and an annual ACR test are recommended. Regarding the urinalysis result, a few epithelial cells is within normal limits. - correct answers Order a spot urine for microalbumin-to-creatinine ratio
A female patient, who has a BMI (body mass index) of 29 has a 20-year history of primary hypertension. She has been taking hydrochlorothiazide 25 mg PO daily with excellent results. On this visit, she complains of feeling thirsty all the time even though she drinks more than 10 glasses of water per day. She reports to the nurse practitioner that she has been having this problem for about 6 months. Upon reading the chart, the nurse practitioner notes that the last fasting blood glucose level was 140 mg/dL. Which of the follow [Show Less]