NRNP-6540 Endocrine, Metabolic and Nutritional Disorders
Question 8
1 / 1 pts
According to the clinical practice guideline by the American Association of Clinical Endocrinology, the NP should consider initiating insulin therapy when the HgA1c reaches what level?
Greater than 8
Greater than 9
Correct!
Greater than 10
Greater than 11
Question 9
1 / 1 pts
A 70-year-old male is seen for his annual evaluation. The patient completins of episodes of blurred vision but denies pain and photophobis. During funduscopic examination, the nurse practitioner appreciates retinal drusen. This presentation is consistent with
Cataracts
Glaucoma
Herpes opthalmicus
Correct!
Macular degeneration
Macular degeneration is typically characterized by loss of central vision. Early complaints and findings include patchy or blurry vision and the presence of retinal drusen, pale yellow deposits visible upon ophthalmic examination.
Question 10
1 / 1 pts
Mrs Thompson presents today with concerns of functional decline, progressive appetite loss, and no willingness to eat or drink. The NP recognizes that these are symptoms of:
Correct!
Adult failure to thrive
Hashimotos thyroiditis
Acute pancreatitis
None of the above, as this is a normal part of aging.
Miss Johnson’s symptoms are consistent with adult failure to thrive. It is important that the NP recognizes that this is not a normal part of aging and it should be assessed properly.
ORDER QUIZZES, EXAMS & ASSIGNMENTS HERE
Question 2
The NP recognizes that all of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except:
Metformin (Glucophage) often causes weight loss. Metformin may rarely cause a serious, life threatening condition called lactic acidosis. Patients with dehydration, renal disease, and alcoholism, especially binge drinking, increased their risk for developing lactic acidosis.
Question 3
Stefanie is a 70 y/o female with 2 year history of Type II diabetes, presents to your office for her routine follow up visit. Which of the following would you recommend on an annual basis for an elderly patient with Type II Diabetes?
Patients with Type 2 diabetes should have an initial dilated and comprehensive eye examination by an ophthalmologist shortly after the diagnosis of diabetes. Subsequent examinations for Type 1 and Type 2 Diabetic patients should be repeated annually by an ophthalmologist. Examinations will be required more frequently if retinopathy is progressing.
A 66-year-old male patient who has hypothyroidism takes level thyroxine daily. Based on the following lab results, how should the nurse practitioner proceed?
0.4-3.8 mIU/L
0.8-2.8 ng/dL
<200 mg/dl
<100
40-60
<150
Dyslipidemia is a common finding when TSH values exceed 10 mIU/L. In patients who have hypothyroidism, there is decreased catabolism of LDL, primarily due to a reduction of cell surface receptors for LDL. This causes an accumulation of LDL cholesterol. The NP should first treat the TSH to 10 mIU/L or less. Lipids should be treated if they remain elevated after TSH is less than 10 mIU/L.
Question 6
Patients with Type I Diabetes should be screened for renal nephropathy five years after diagnosis. Since nephropathy takes several years to develop, it is highly improbable that a newly diagnosed patient will have no properties secondary to diabetes. Diabetic nephropathy is usually diagnosed based on the presence of albuminuria and/or reduced eGFR in the absence of signs or symptoms of other primary causes of kidney damage.
Question 7