Quiz 5 NR 601 MATURE AND AGING ADULT Score for this quiz: 6 out of 10 Submitted Feb 4 at 9:52am This attempt took 7 minutes.

Question 1 2 / 2 pts 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 (CORRECT ANSWER)
• Hgb A1C 6.4% Rationale: 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.

Question 2 2 / 2 pts Which “P” is a component of “the 3 P’s” of diabetes mellitus?

• polyphagia (CORRECT ANSWER)
• polygraphia
• pain
• paresthesia Rationale: The 3 Ps of diabetes are polyphagia, polyuria, and polydipsia.

Question 3 2 / 2 pts 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 (CORRECT ANSWER)
• inflammatory bowel disease Rationale: Metformin is contraindicated in renal disease, abnormal creatinine clearance, acute myocardial infarction, or septicemia.

Question 4 0 / 2 pts The nurse practitioner student is reviewing the lab results from an annual exam. The CMP fasting glucose was 128 mg/dL. What is the nurse practitioner student’s next action?

• order a Hgb A1c (CORRECT ANSWER)
• prescribe Metformin 500 mg po daily
• repeat fasting glucose in 1 week
• repeat fasting glucose in 1 year Rationale: A fasting plasma glucose > 126 mg/dL requires further testing. In the absence of unequivocal hyperglycemia, the result should be confirmed by repeat testing. A HgbA1C is the correct answer because the repeat testing should be completed without delay.

Question 5 0 / 2 pts 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?

• diet, exercise, and metformin
• diet, exercise, and insulin (CORRECT ANSWER)
• diet and exercise
• no treatment necessary at this time Rationale: At 66 inches and a weight of 200 lbs, the patient has a BMI of 32.3. The ADA and AACE recommend that patients with recent onset T2DM (A1C < 7.5%) start with lifestyle changes and monotherapy.