Quiz 5 NR 601 MATURE AND AGING ADULT

Which of the following laboratory results meets criteria for diagnosis of diabetes?

random blood glucose greater than 126 mg/dL with classic symptoms of hyperglycemia

positive urine ketones

random glucose greater than 200 mg/dL with classic symptoms of hyperglycemia

Hgb A1C 6.4%

The criterion for the diagnosis of diabetes is either two fasting blood glucose readings

with results greater than or equal to 126 mg/dL or a random blood glucose reading

greater than or equal to 200 mg/dL if symptoms of diabetes are present. Random

glucose is not the appropriate test. In older adults, the glucose reading after a 2-hour

oral glucose tolerance test (OGTT) rises more rapidly than the fasting glucose. Kennedy

p.370

Which “P” is a component of “the 3 P’s” of diabetes mellitus?

polygraphia

polyphagia

pain

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Question 3

2 / 2 pts

Question 4

0 / 2 pts

paresthesia

The 3 Ps of diabetes are polyphagia, polyuria and polydipsia. Kennedy p. 370

A patient with Type 2 diabetes comes to the clinic after reading a magazine article about

metformin and has some concerns about taking metformin. Which condition listed below

would be a contraindication to taking metformin?

chronic obstructive pulmonary disease

ulcerative colitis

renal disease

inflammatory bowel disease

Metformin is contraindicated in renal disease, abnormal creatnine clearance, acute

myocardial infarction or septicemia. Dunphy p. 927

The nurse practitioner student is reviewing the lab results from an annual an annual

exam. The CMP fasting glucose was 128 mg/dL. What is the nurse practitioner

student's next action?

Correct Answer

order a Hgb A1c

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Question 5

0 / 2 pts

prescribe Metformin 500 mg po daily

repeat fasting glucose in 1 week

repeat fasting glucose in 1 year

A fasting plasma glucose > 126 mg/dL requires further testing. In the absense of

unequivocal hyperglycemia, result should be confirmed by repeat testing . A HgbA1C is

the correct answer becasue the repeat testing should be completed without delay.

Retesting in a week or a year is a delay. Metformin should not be initatiated until the

diagnosis is confirmed . Dunphy p.925

A newly diagnosed patient with Type 2 diabetes mellitus (DM) is 66 inches in

height. The patient's weight is 200 lbs, and the A1c is 7.1%. What is the best initial

treatment?

Correct Answer

diet, exercise, and metformin

diet, exercise, and insulin

diet and exercise

no treatment necessary at this time

At 66 in and a weight of 200 lbs. the patient has a BMI of 32.3. If you did not have an

ability to calculate, the weight of 200 is higher than a normal BMI. The ADA and AACE

recommend that pat