NSG222 Unit 5 Prototype Drug Exam Proficiency practice test Questions and certified Answers latest 2024/2025
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Course
NSG 222
Institution
NSG 222
NSG222 Unit 5 Prototype Drug Exam Proficiency practice test Questions and certified Answers latest 2024/2025
Long-acting Insulin - correct answer •Insulin glargine (Lantus)/insulin detemir(Levemir)
•ONSET: 70 min
•PEAK: None
•DURATION: 24 hr
Give with evening meal or at bedtime. Same...
NSG222 Unit 5 Exam Proficiency practice test
Questions and certified Answers latest
2024/2025
Long-acting Insulin - correct answer •Insulin glargine (Lantus)/insulin detemir(Levemir)
•ONSET: 70 min
•PEAK: None
•DURATION: 24 hr
Give with evening meal or at bedtime. Same time every day; once a day
Prototype Drug: metformin Drug class: Biguanides - correct answer •MECHANISM OF
ACTION
•Decreases gluconeogenesis: hepatic production of glucose.
•Reduces insulin resistance
•Does not promote insulin release from pancreas: no hypoglycemia.
•Lowers triglycerides and LDL cholesterol levels
•ADVERSE EFFECTS
•GI: N/V/D, loss of appetite/ anorexia
•Metallic taste
•CONTRAINDICATIONS/PRECAUTIONS
•Renal impairment, heart failure, liver failure, lactic acidosis, concurrent serious
infection.
Black Box Warning: May cause fatal lactic acidosis
Increased risk with renal insufficiency, liver disease, severe infection, excessive alcohol
intake, shock.
Prototype Drug: glipizide. Drug class: Sulfonylureas - correct answer •MECHANISM
OF ACTION
•Act by stimulating release of insulin from pancreatic islet cells
Prototype Drug: Acarbose. Drug class: ALPHA-GLUCOSIDASE INHIBITORS - correct
answer •MECHANISM OF ACTION: breaks down complex carbs
•Act by blocking enzymes in the small intestine
•Delays digestion of glucose
•More stable glucose levels in the body
•ADVERSE EFFECTS
•Minimal: local to where it works: abd. Cramping, diarrhea, flatulence.
Prototype Drug: Diphenhydramine (Benadryl)Pharmacologic Class: H1-receptor
antagonist; antihistamine (1st Gen) - correct answer •ACTIONS AND USES
•Block actions of histamine at H1 receptor
•Treat minor symptoms of allergic rhinitis and common cold
•Often combined with analgesic, decongestant, or expectorant in OTC cold/flu products
•ADVERSE EFFECTS
•Significant drowsiness
•Anticholinergic effects
•CONTRAINDICATIONS
•GI obstruction: can't poop
•Breastfeeding: transfer to baby- sedation
•INTERACTIONS
•CNS Depressants/Alcohol
•NURSING CONSIDERATIONS
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