ATI MedSurg Test Bank, Common Endocrine, Metabolic Complaints-with 100% verified solutions-2022-2024

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ATI MedSurg Test Bank, Common Endocrine, Metabolic Complaints-with 100% verified solutions-2022-2024 Corina Ianculovici Identify the choice that best completes the statement or answers the quest... ion. Provide a rationale and a reference for each of your responses 1. A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment? a. No treatment at this time b. Diet and exercise for 6-week trial c. Diet, exercise, and oral medication d. Diet, exercise, and exogenous insulin Rationale: Patient has a BMI of 32.3, which classifies him as clinically obese. An in depth analysis of eating patterns, nutritional and weight history, presence of other comorbidities (renal, cardiovascular, neurologic, liver), depression screening, a complete eye exam, foot and neurological exam should be conducted along with a CMP, A1C, BNP, CBC/Diff. Stabilizing the blood glucose level by exogenous insulin administration to achieve a 80-120 mg/dL before meals and 100-140 mg/dL at bed time, along with am A1C <7.0 is the primary goal. Reference:880-881 2. The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit? a. High sensitivity thyroid-stimulating hormone (TSH) and free T4 b. Free T4 and serum calcium c. Free T3 and T4 d. TSH and thyroxin antibodies Rationale: When suspecting hyperthyroidism, the first step is to test the serum sensitive TSH assay. Free Thyroxine immunoassay FT4 and T3 if the TSH is low. Reference: 851 3. A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 CONTINUED... [Show More]

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