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Nur 176 Exam 1 With 100% Correct Answers 2023
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Nur 176 Exam 1 With 100% Correct Answers 2023
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Nur 176 Exam 1 With 100% Correct Answers 2023What are the advantages of metformin (Glucophage)? Select all that apply. - Correct Answer-causes weight loss, produces a modest decrease in concentrations of serum triglycerides., can be used in combination with other oral antidiabetic agents to lower blood glucose.
Which antidiabetic agents decrease insulin secretion? - Correct Answer-Sodium-
glucose cotransporter 2 inhibitors
Which medication when given with metformin (Glucophage) may decrease its therapeutic effects? - Correct Answer-Phenytoin (Dilantin)
What is the effect of rosiglitazone (Avandia) on glucose? - Correct Answer-Increased cellular uptake
Which antidiabetic agent inhibits enzymes in the small intestine that metabolize complex
carbohydrates? - Correct Answer-Miglitol (Glyset)
Which form of insulin produces a rapid effect? - Correct Answer-Apidra (glulisine), NovoLog (aspart)
Which antidiabetic agent acts by increasing tissue sensitivity to insulin? - Correct Answer-Thiazolidinediones
Which type of insulin has the most rapid onset and shortest duration of action? - Correct
Answer-Aspart (Novolog)
Which statement best describes the action of miglitol (Glyset)? - Correct Answer-
Absorption of carbohydrates from the intestines is delayed
Which enzymes may reduce the effect of acarbose (Precose)? - Correct Answer-
Amylase, Pancreatin
What is the mechanism of action of pramlintide (Symlin Pen)? - Correct Answer-
Suppresses glucagon secretion from the liver
Which medication is the initial choice for treatment of prediabetes? - Correct Answer-
Metformin (Glucophage)
Which antidiabetic agents stimulate the pancreas to secrete more insulin? - Correct Answer-Secretagogues Which statement is true regarding regular insulin (Humulin R)? - Correct Answer-has a short onset of activity.
What is the primary therapeutic outcome expected from glucagon therapy? - Correct Answer-Elimination of symptoms associated with hypoglycemia
Which antidiabetic medication may cause weight loss? - Correct Answer-Metformin (Glucophage)
Which medication may lead to blood dyscrasias? - Correct Answer-Glipizide XL (Glucotrol XL)
What is the appropriate order of mixing two types of insulin in one syringe? - Correct Answer-Short-acting insulin should be drawn up before intermediate-acting.
Which statements are true regarding thiazolidinediones (TZDs)? - Correct Answer-lower
blood glucose levels, inhibit hepatic gluconeogenesis., increase the sensitivity of muscle
and fat tissue to insulin.
Which observation helps to confirm a type 2 diabetes diagnosis? - Correct Answer-No ketones at diagnosis
Which oral antidiabetic agent may lead to glycosuria? - Correct Answer-Sodium-glucose
cotransporter 2 inhibitors
Which insulin is an intermediate-acting insulin? - Correct Answer-Novolin N (human)
Which type of insulin is the only one that may be given intravenously? - Correct Answer-
Regular (Humulin R)
The nurse is education a type 2 diabetic on glucose regulation practices. Which information will be included? - Correct Answer-increased activity, proper Vitamin D intake and low carb diet
During education of a new type 1 diabetic the nurse will stress which risk factors? - Correct Answer-1. effects of lack of exercise 2. potential for dehydration 3. risk of severe hypoglycemia 4. risk of poor wound healing
The LPN is education the diabetic patient on keeping their blood sugars under control for optimal health, which suggestions will the LPN make? - Correct Answer-take your BFSFS before meals & prn for optimal control. Ensure low carb & healthy dietary selections practiced drink 4-6 bottles of water daily for hydration health You assess a patient c/o abdominal pain, nausea & notice an acetone breath with rapid breathing. what do you suspect & what actions will you take? they state they're type 1 diabetic - Correct Answer-your client is experiencing DKA & needs immediate assessment for insulin administration
Your diabetic patient developed DM later in life & is asking how to reduce risk of progression of the condition. you'll educate them on need for which actions? - Correct Answer-keeping your daily BS levels under 140 for optimal control choosing foods lower in the glycemic values & proper hydration annual eye exams annual renal check ups
You're caring for a new type 2 DM patient. Which statements by them will need reeducation or questioning from you? - Correct Answer-"I love to walk barefoot in my backyard, it relaxes me" "I've been skipping meals to lose weight"
Types of insulin - Correct Answer-rapid-acting, short-acting, intermediate-acting, long-
acting, pre-mixed
Afrezza - Correct Answer-rapid acting inhaled insulin, use before meals, for both type 1&2, peaks in about 15-20mins, must be used along with long-acting insulin in people with type 1
regular people blood sugars levels - Correct Answer-70-120
diabetics blood sugar levels - Correct Answer-70-140
prediabetics blood sugar levels - Correct Answer-120-140
fasting blood sugars - Correct Answer-70-100
When to take rapid acting insulin? - Correct Answer-about 15 minutes before mealtime
When to take short acting insulin - Correct Answer-30-60 mins before a meal
When to take intermediate acting insulin - Correct Answer-up to 1hr prior to a meal
when to take pre-mixed insulin - Correct Answer-depending on the product, between 10mins or 30-45 mins before meals
When would I give a fast acting insulin to my patient? - Correct Answer-just as the food is ready to eat
MS is a disease that affects - Correct Answer-CNS
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