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Question 1 may be ordered? The APRN suspects a patient has a hyperfunctioning thyroid nodule. After referral to endocrinology, what treatment a. Radioactive iodine ablation b. Chemotherapy c. Levothyroxine) d.Lipid panel Question 2 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 a. Cataracts b.Glaucoma c. Herpes opthalmicus d.Macular degencration Question 3 The most appropriate time to begin screening for renal nephropathy in a patient with Type I Diabetes is: a. Two to three years after diagnosis b. At diagnosis c. Once annually after diagnosis d. Five years after diagnosis Question 4 The NP recognizes that all of the fellowing patients have an increased risk of developing adverse effects from metformin (Glucophage) except: • a. Patients who drink lots of alcohol b. Patients who are dehydrated c. Patients with renal disease d. Patients who are overweight Question 5 Which of the following BMI choices would be considered obesity? a. BMI 21 or greater b. BMI 24 or greater c. BMI 30 or greater d. BMI 34 or greater Question 6 According to the clinical practice guideline by the American Association of Clinical Endocrinology, the NP should consider initiating insulin therapy when the HgAle reaches what level? a. Greater than 8 b. Greater than 9 c. Greater than 10 d. Greater than 11 Question 7 An 83-year-old postmenopausal female is in for her yearly Medicare physical. Upon recommended screening she has a low bone mineral density. What would the APRN recommend for this patient to decrease the risk of fractures? Select all the apply. a. Start a weight-bearing exercise routine. b. Take 2,000 mg of calcium a day. c. Get at least 15 minutes of sunlight a day. d. Stay at home to promote safety, e. Build up your bones by taking a bisphosphonate Question 8 Which of the following groups have been recommended to be screened for thyroid disease? a. Men under 60 b. Adolescent females c. Men over 60 years of age d. Women over 50 years of age Question 9 The NP recognizes all of the following being a contributing factor to pancreatitis EXCEPT a. Excessive alcohol use b. Excessive caffeine intake c. Hypercalcemia d. Hypertriglyceridemia Question 10 Which of the following statements is correct regarding hyperthyroidism? Select all the apply. a. Hyperthyroidism can present atyp cally in older adults. b. Graves’ disease is the most comeon cause of hyperthyroidism in older adults. • c. Men are five times more likely to develop Graves’ disease then women. d. The thyroid is found lower in the neck and substernal area in older adults. e. Biotin is helpful in hyperthyroidism. References: • Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Endocrine and metabolic disorders. In Advanced practice nursing in the care of older adults (3rd ed., pp. 437-480). F.A. Davis. • American Diabetes Association. (2020). Glycemic targets: Standards of medical care in diabetes 2020Links to an external site. Diabetes Care, 43 (Suppl. 1). S66-S76. https://doi.org/10.2337/dc20-S006 • Munshi, M, Nathan, D. M., Schmader, K. E., Mulder, J. B., & Givens, J. (2019). Treatment of type 2 diabetes mellitus in the older patient Links to an external site.. UpToDate. Retrieved June 8, 2020, from https://www.uptodate.com/contents/treatment- of-type-2-diabetes-mellitus-in-the-older-patient
SCIENCE
HEALTH SCIENCE
NURSING
NRNP 6540

 
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