-Which of the following is part of the treatment plan for the patient with IBS?
A. High-fiber diet
B. A discussion that the goal of treatment is to cure
... [Show More] their disease
C. Daily laxatives
D. A conversation about their expected shorter life span {{Correct Ans- A. High-fiber diet
-Belinda, age 40 has had type 1 diabetes for 20 yrs and take a combination of NPH and regular insulin
every day. She comes to the office because she has developed a severe upper respiratory infection with
chills, fever, and production of yellow sputum. Because of her acute infection, you know that Belinda is
likely to require:A. a decrease in her daily insulin dosage
B. a increase in her daily insulin dosage
C. a high-caloric dietary intake and no insulin change
D. a change in her insulin from NPH to insulin aspart (NovoLog) {{Correct Ans- B. a increase in her daily
insulin dosage
-Minne, age 50 has type 1 diabetes and checks her blood glucose level several times every day. Her
blood glucose level ranges from 250-280mg/dL in the am and is usually about 140 at lunch, about 120 at
dinner, and about 100 at bedtime. In the am she takes 30 units of neutral protamine Hagedorn (NPH)
insulin and 4 units of regular insulin, and before dinner she takes 18 units of NPH insulin and 4 units of
regular insulin. Although she has had her insulin dosage adjusted several times in the past month, it has
had no effect on her high am blood glucose level. What is your next course of action?
A. increase the evening NPH insulin dosage 2 more units
B. have her check her blood glucose level between 2am and 4am for the next several days
C. increase the am regular insulin dosage by 2 units
D. order a fasting blood sugar test {{Correct Ans- B. have her check her blood glucose level between 2am
and 4am for the next several days
-Mork has had type 1 diabetes for 10 yrs. Several recent urinalysis reports have shown
microalbuminuria. Your next step would be to:
A. order a 24 hr urinalysis
B. start him on an angiotensive converting enzyme inhibitor
C. stress the importance of strict blood sugar control
D. send him to a dietician because he obviously has not been following his diet {{Correct Ans - B. start
him on an angiotensive converting enzyme inhibitor
-A male patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He
states that he took his insulin this morning but was late for work and did not eat breakfast. Which action
should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice.
C. Call 911.
D. Ask him about his usual eating habits. {{Correct Ans- B. Have him drink 4 ounces of juice.
-The physician informs Janelle that if her thyroid gland was removed, she would need to take medication
to replace the hormones normally synthesized by this gland. Which medication will Janelle likely be
prescribed?A. Naproxen
B. Amantadine
C. Herceptin
D. Levothyroxine {{Correct Ans- D. Levothyroxine
Once the thyroid gland is removed, Janelle must take a replacement thyroid hormone such as
levothyroxine for the rest of her life. She will work closely with her physician to determine the proper
dosage to meet her metabolic needs. [Show Less]