NSG530 / NSG 530 Exam 3 (Latest 2024 /
2025): Advanced Pathophysiology |
Questions and Verified Answers | 100% Correct | Grade A - Wilkes A 33-year-old patient has been admitted to the hospital for the treatment of Graves disease.Which of the following assessments should the patient's care team prioritize?Assessment of the patient's level of consciousness and neurologic status Assessment of the patient's peripheral vascular system and assessing for thromboembolism Assessment of the patient's vision and oculomotor function Cardiac monitoring and assessment of peripheral perfusion Assessment of the patient's vision and oculomotor function A patient who has been taking 80 mg of prednisone, a glucocorticoid, each day has been warned by his primary care provider to carefully follow a plan for the gradual reduction of the dose rather than stopping the drug suddenly. What is the rationale for this directive?Sudden changes in glucocorticoid dosing may reverse the therapeutic effects of the drug.Stopping the drug suddenly may "shock" the HPA axis into overactivity.Sudden cessation of a glucocorticoid can result in adrenal gland necrosis.Stopping the drug suddenly may cause adrenal insufficiency.Stopping the drug suddenly may cause adrenal insufficiency.Which of the following pathophysiologic phenomena may result in a diagnosis of Cushing disease? 1 / 4
Hypopituitarism Excess ACTH production by a pituitary tumor Autoimmune destruction of the adrenal cortex Malfunction of the HPA system Excess ACTH production by a pituitary tumor Type 1 diabetes mellitus results from destruction of the pancreatic beta cells by two mechanisms. The mechanism for type 1A diabetes is _______ destruction.genetic resistant idiopathic autoimmune autoimmune
The metabolic abnormalities that lead to type 2 diabetes include:
chronic overeating.insulin resistance.acute pancreatitis.recurrent hypoglycemia.insulin resistance.Impaired and delayed healing in a person with diabetes is caused by chronic complications that
include:
ketoacidosis.Somogyi effect.fluid imbalances. 2 / 4
chronic neuropathies.chronic neuropathies.A patient with longstanding type 2 diabetes is surprised at his high blood sugar readings while recovering from an emergency surgery. Which of the following factors may have contributed to the patient's inordinately elevated blood glucose levels?The tissue trauma of surgery resulted in gluconeogenesis.Illness inhibited the release and uptake of glucagon.The stress of the event caused the release of cortisol.Sleep disruption in the hospital precipitated the dawn effect.The stress of the event caused the release of cortisol.Which of the following comorbidities represents the greatest risk for the development of foot ulcers in a diabetic patient?Sensory neuropathy Previous incidents of diabetic ketoacidosis Diabetic nephropathy Autonomic neuropathy Sensory neuropathy A diabetic patient's most recent blood work indicated a decreased glomerular filtration rate and urine testing revealed microalbuminuria. Which of the following self-care measures should the patient's care team suggest to the patient?Use of over-the-counter diuretics Increased fluid intake Decreased oral sugar intake Measures to lower blood pressure 3 / 4
Measures to lower blood pressure A hospital patient has been complaining of increasing fatigue for several hours and his nurse has entered his room to find him unarousable. The nurse immediately checked the patient's blood glucose level, which is 22 mg/dL (1.2 mmol/L). The nurse should prepare to administer which of the following?A snack that combines simple sugars, protein, and complex carbohydrates A 50% glucose solution intravenously Infusion of rapid-acting insulin Oral solution containing glucagon and simple sugars A 50% glucose solution intravenously The results of a 44-year-old obese man's recent diagnostic workup have culminated in a new diagnosis of type 2 diabetes. Which of the following pathophysiologic processes underlies the patient's new diagnosis?Beta-cell exhaustion due to long-standing insulin resistance Destruction of beta cells that is not attributable to autoimmunity T-lymphocyte-mediated hypersensitivity reactions Actions of insulin autoantibodies (IAAs) and islet cell autoantibodies (ICAs) Beta-cell exhaustion due to long-standing insulin resistance Which of the following assessment findings of a male patient constitutes a criterion for a diagnosis of metabolic syndrome?The patient states that he does less than 30 minutes of strenuous physical activity each week.The patient's resting heart rate is typically 85 to 95 beats per minute.The patient's blood pressure is consistently in the range of 140/90 mm Hg.The patient has a family history of type 2 diabetes.The patient's blood pressure is consistently in the range of 140/90 mm Hg.
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