The nurse is caring for an 80-year-old patient with a history of type 2 diabetes and hypothyroidism. The physician wants to evaluate the patient's blood glucose levels and orders a fructosamine assay. Which factor best explains why the physician chose this test over other blood glucose tests?

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Question 1 of 5

The nurse is caring for an 80-year-old patient with a history of type 2 diabetes and hypothyroidism. The physician wants to evaluate the patient's blood glucose levels and orders a fructosamine assay. Which factor best explains why the physician chose this test over other blood glucose tests?

Correct Answer: A

Rationale: Fructosamine measures glycated serum proteins, reflecting glucose control over 2-3 weeks, shorter than the 2-3 months of hemoglobin A1c, making it ideal for recent monitoring, especially in conditions like hypothyroidism that may affect A1c reliability.

Question 2 of 5

The anterior pituitary gland hormone ACTH regulates the production and secretion of the glucocorticoid hormone ___ from the adrenal cortex.

Correct Answer: B

Rationale: ACTH from the anterior pituitary stimulates the adrenal cortex to produce cortisol, a glucocorticoid hormone involved in stress and metabolism regulation.

Question 3 of 5

The nurse is reviewing the records of a child being treated for a short stature. Which prescription should the nurse anticipate the child is receiving?

Correct Answer: A

Rationale: Somatotropin is a growth hormone used to treat short stature due to growth hormone deficiency.

Question 4 of 5

Which is the initial step of the negative feedback regulation that results in the suppression of secretion of TSH and TRH thyroid hormone?

Correct Answer: A

Rationale: The process begins with the hypothalamus secreting TRH to stimulate TSH release.

Question 5 of 5

Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid storm?

Correct Answer: A

Rationale: Shivering in thyroid storm may indicate worsening fever or instability, a critical concern.

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