A 10-year-old boy has type 1 diabetes. His late afternoon blood sugars over the past 2 weeks have ranged
between 210 mg/dL and 230 mg/dL. He currently injects 10 units of regular insulin and 25 units of NPH
in the morning and 15 units of regular insulin and 10 units of NPH insulin in the evenin...
A 10-year-old boy has type 1 diabetes. His late afternoon blood sugars over the past 2 weeks have ranged
between 210 mg/dL and 230 mg/dL. He currently injects 10 units of regular insulin and 25 units of NPH
in the morning and 15 units of regular insulin and 10 units of NPH insulin in the evening. Which of the
following is the best treatment plan for this patient? - CORRECT ANSWER ✔️✔️ -Increase only the NPH
insulin in the morning
A 30-year-old woman with type 2 diabetes uses regular and NPH (neutral protein Hagedorn) insulin in the
morning and in the evening. She denies changes in her diet or any illness, but recently started attending
aerobic classes in the afternoon. Her fasting blood glucose level before breakfast is now elevated. Which
of the following is best described? - CORRECT ANSWER ✔️✔️ -Somogyi phenomenon
A 35-year-old woman is complaining of gradual weight gain, lack of energy, and amenorrhea. The urine
pregnancy test is negative. A complete blood count (CBC) shows hemoglobin of 13.5 g/dL and mean
corpuscular volume (MCV) of 84 fL. The nurse practitioner suspects that the patient may have
hypothyroidism. The thyroid-stimulating hormone (TSH) level is 10 mU/L. Which of the following is the
next step in the evaluation? - CORRECT ANSWER ✔️✔️ -Check the thyroid profile
A 50-year-old woman of Irish descent presents with history of lethargy, feeling weak, nausea, anorexia
with diarrhea and abdominal pain. The woman's skin appears tanned, but she denies prolonged sun
exposure. During physical exam, the nurse practitioner notes hyperpigmentation of the nipple area, the
gums, and the lips. The electrolyte panel reveals hyperkalemia and hyponatremia. She reports craving
salty foods. Which of the following is most likely? - CORRECT ANSWER ✔️✔️ -Addison's disease
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