19.)Diabetes screening recommendations for asymptomatic adults age 45 and over include which of
the following: (HbA1C and 2-hour 75gram oral glucose tolerance test)
20.)A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How
should the nurse practitioner respond? Answer: Current guidelines recommend lowering BP to <
135/80 mmHg
21.)Which of the following is not a characteristic of type 1 diabetes mellitus? It is generally
controlled by diet and/or oral medication.
22.)The most accurate measure of diabetes control is: hemoglobin A1c considered the most
accurate measurement or Glycosylated hemoglobin level
23.)Which factors are associated with high risk for foot complications in a patient with diabetes
mellitus? Obesity Abnormal nails Abnormal gait Poorly controlled lipids Obesity
2.Abnormal nails 3.Abnormal gait 4.Poorly controlled lipids
24.)An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for
this patient, the nurse practitioner is most concerned with which of the following side effects?
Hypoglycemia
25.)Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On
examining his feet with monofilament, you discover that he has developed decreased sensation
in both feet. There are no open areas or signs of infection on his feet. What health teaching
should Martin receive today regarding the care if his feet? See a podiatrist yearly; wash your
feet daily with warm, soapy water and towel dry between the toes; inspect your feet daily for
any lesions; and apply lotion to any dry areas.
26.)The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
measure albumin (microalbuminuria
27.)What diabetic complications result from hyperglycemia? Retinopathy 2. Hypertension resistant
to treatment 3. Peripheral neuropathy
28.)An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting
glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider? A
sulfonylurea and/or metformin (Glucophage® -XR)
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