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2 / 2 pts The nurse practitioner student is reviewing the lab results from an annual exam. The CMP fasting glucose was 128 mg/dL. The patient does complain of polyphagia. What is the nurse practiti... oner student's next action? repeat fasting glucose in 3 months Prescribe Metformin 500 mg once a day. Repeat fasting glucose in 1 week. Correct! Order a HGA1C today. Rationale: A fasting plasma glucose > 126 mg/dL requires further testing. In the absence of unequivocal hyperglycemia, result should be confirmed by repeat testing. A HgbA1C is the correct answer because the repeat testing should be completed without delay. Retesting in a week or a year is a delay. Metformin should not be initiated until the diagnosis is confirmed. Dunphy p.925 Question 2 0 / 2 pts Which of the following occurs commonly in Type 2 diabetes? You Answered anorexia Correct Answer yeast infection elevated high density lipoprotein cholesterol (HDL) fluid overload Persons with diabetes are at increased risk of all types of infection, especially yeast infection. T2DM patients are obese, not anorexic. The LDL is elevated due to the dyslipidemia. HDL is the good cholesterol, we would want that level to be elevated. Dunphy p.924 Question 3 This study source was downloaded by 100000796615030 from CourseHero.com on 08-02-2021 09:44:59 GMT -05:00 https://www.coursehero.com/file/87031803/Week-5-Test-Your-Knowledgedocx/ This study resource was shared via CourseHero.com 2 / 2 pts What are some of the signs and symptoms of hypoglycemia? slurred speech, lack of concentration, increased pulse and ruddy skin lack of coordination, decreased pulse and pale moist skin lack of coordination, decreased pulse and ruddy, moist skin Correct! slurred speech, lack of coordination, increased pulse and pale moist skin Symptoms of hypoglycemia, which can present when blood glucose is < 60 mg/dl. Brain function is impaired when glucose levels < 50 mg/dl . Symptoms can vary but include sweating, tremulousness, dizziness, confusion, anxiety and palpitations. Headaches, fatigue, weakness, drowsiness, syncope, diplopia, blurred vision and personality changes are due to neurological changes. Seizure and coma can occur with severe cases. Dunphy p.935 Question 4 0 / 2 pts Which Statement, made by a patient with Type 1 Diabetes, indicates successful teaching regarding general guidelines for exercise? Correct Answer “I will check my blood glucose before, every 30-60 minutes during, and after I'm done exercising.” “I will not exercise if my blood sugar is 215.” “I should eat more carbohydrates if my blood glucose is less than 200.” You Answered "I will exercise when my urine ketones are positive, but blood sugar is 260." Rationale: The metabolic adjustments that maintain normal glucose levels are impaired in T1DM. Exercise can exacerbate hyperglycemia if the patient has too little insulin available. Review the guidelines listed on Dunphy p. 919. Check blood sugar before, every 30 to 60 minutes during, and after exercise. Question 5 This study source was downloaded by 100000796615030 from CourseHero.com on 08-02-2021 09:44:59 GMT -05:00 https://www.coursehero.com/file/87031803/Week-5-Test-Your-Knowledgedocx/ This study resource was shared via CourseHero.com 2 / 2 pts Which diagnosis below refers to hyperglycemic state that does not meet criteria for a Type 2 diabetes diagnosis? HB A1C 6.5% insulin resistance polyphagia Correct! • Fasting Blood Glucose of 123 on two separate occasions Hyperglycemic states that have not reached the criteria for T2DM are identified as impaired glucose tolerance. Dunphy pg 925. [Show More]

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