A 45-year-old male patient with suspected acromegaly is seen at ...

[Bob-Dole]

A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask?
 
  a. Have you had a recent head injury?
  b. Do you have to wear larger shoes now?
  c. Is there a family history of acromegaly?
  d. Are you experiencing tremors or anxiety?

Question 2

In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice A, B, C, D, E).
 
  a. Rotate NPH vial.
  b. Withdraw regular insulin.
  c. Withdraw 20 units of NPH.
  d. Inject 20 units of air into NPH vial.
  e. Inject 2 units of air into regular insulin vial.

[SamMuagrove]

Answer to Question 1

ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly.

Answer to Question 2

ANS:
A, D, E, B, C
When mixing regular insulin with NPH, it is important to avoid contact between the regular insulin and the additives in the NPH that slow the onset, peak, and duration of activity in the longer-acting insulin.

[Bob-Dole]

Great answer, keep it coming

[Viet Thy]

Excellent