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UPDATED 2024/2025 NURS 5334 EXAM 3 LATEST QUESTIONS WITH COMPLETE SOLUTIONS ALREADY VERIFIED
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What drugs are used to treat gestational diabetes? - ANSWER- Metformin abd Insulin What A1C value indicates diabetes mellitus? Pre-DM? - ANSWER- 6.5% or greater is considered diabetes o 5.7-6.4%pre-diabetes What fasting and random values indicate DM? - ANSWER- Fasting p...

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  • July 15, 2023
  • 51
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • nurs 5334 exam 3 2023
  • nurs 5334 exam 3 latest
  • nurs 5334
  • nurs 5334 exam 3 2023 latest questions with comple
  • what drugs are used to treat gestational diabetes
  • updated nurs 5334 exam 3 latest question

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NURS 5334 EXAM 3 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS ALREADY VERIFIED
What drugs are used to treat gestational diabetes? - ANSWER- Metformin

abd Insulin

What A1C value indicates diabetes mellitus? Pre-DM? - ANSWER- 6.5% or

greater is considered diabetes o 5.7-6.4%pre-diabetes

What fasting and random values indicate DM? - ANSWER- Fasting plasma

glucose—126 or greater is diabetes. Random (casual) plasma glucose—anything

greater than 200 is diabetes

What are complications of insulin therapy? - ANSWER- Hypoglycemia

Can develop lipohypertrophy. Accumulation of subcutaneous fat that occurs when it

is injected too frequently at the same site. Allergic reactions

Characterized by red and intensely itchy welts, breathing becomes difficult

If severe allergy develops:

Desensitization procedure (small doses to larger doses). Hypokalemia

Promotes the uptake of potassium cells and insulin activates a membrane-bound

enzyme with sodium potassium and ATPase that pumps potassium into the cells

and sodium out

insulin drug interactions - ANSWER- o Hypoglycemicagents

Can intensify the hypoglycemia included by insulin

Examples: sulfonylureas, glinides, alcohol o

Usewithcautionwithhyperglycemicagents

Examples: thiazide and glucocorticoids and sympathomimetics




1

,NURS 5334 EXAM 3 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS ALREADY VERIFIED
What effect do beta blockers have on insulin? - ANSWER- delay awareness

of and response to hypoglycemia by masking the signs that are associated with

stimulation of sympathetic nervous system

o Impairglycogenolysis

o Prevent the bodies counter-regulatory response

What are other therapeutic uses besides DM? - ANSWER- Hyperkalemia o

Aids in diagnosis of GH deficiency o Diabeticketoacidosis

Insulin dosage must be coordinated with what? - ANSWER- Carbohydrate

intake

What is B/P goal in diabetic? - ANSWER- o To be controlled, within normal

120/80

What medication can be given to decrease risk of diabetic nephropathy? -

ANSWER- ACE inhibitor or ARB

What role does exercise play in treatment of both type 1 and type 2 DM? -

ANSWER- Exercise increases cellular responsiveness to insulin and increases

glucose tolerance o 150 minute per week of moderate intensity exercise is

recommended

What are the 4 steps in the 4-step approach? - ANSWER- Step1—diagnosis

Lifestyle changes plus metformin o Step2

Lifestyle changes plus metformin and a second drug (sulfonylurea, TZD or a DPP4

inhibitor, a sodium glucose cotransporter or SGLT-2 inhibitor, a glucagon-like

peptide 1, or a GLP-1 receptor agonist or basal insulin

2

,NURS 5334 EXAM 3 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS ALREADY VERIFIED
Second drug choice made considering efficacy, the hypoglycemia risk of the

patient, the patient tolerability, and weight-related considerations (some help weight

loss, some cause weight gain), cost

o Step3

Three drug combination

Metformin

Plus 2 other drugs from step 2

o Decidedbasedonadrugandpatientspecificconsiderations

o Step4

If 3 drug combination that includes basal insulin fails after 3-6 months, more

complex insulin regimen

Usually in combination with one or more non-insulin medications

When a patient is on insulin therapy what are the blood glucose goals before

meals? At bedtime? - ANSWER- Beforemeals—70-130

o Bedtime—100-140

What is the A1C goal? When is goal below 7 not appropriate? - ANSWER-

7%or below o Those with severe hypoglycemia risk, limited life expectancy

,advanced microvascular or

macrovascular complications—not below 7

What are the short acting insulins? Intermediate? Long acting? - ANSWER-

Shortduration:Rapidacting

Insulin lispro [Humalog]

3

, NURS 5334 EXAM 3 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS ALREADY VERIFIED
Insulin aspart [NovoLog]

Insulin glulisine [Apidra] o Shortduration:Sloweracting

Regular insulin [Humulin R, Novolin R] o Intermediateduration

Neutral protamine Hagedorn (NPH) insulin

Insulin detemir [Levemir] o Longduration

Insulin glargine

When are short duration insulins used? - ANSWER- Administered in

association with meals to control the post-prandial rise in blood glucose between

meals and at night

When are intermediate insulins needed? - ANSWER- Administer 2-3 times

daily to provide glycemic control between meals and during the

night

How long is duration of glargine? Levemir? Degludec? - ANSWER-

Glargine—up to 24 hours o Levemir

Low dose (0.2 units/kg)—12 hours

High doses (0.4 units/kg)—20-24 hours

o Degludec—up to 42 hours

What are routes of administration? Which can be inhaled? - ANSWER- SQ

injection IV infusion. Inhalation—Afrezza, meal time insulin

Typical insulin dosing for type 1? Type 2? - ANSWER- Total doses may range

from 0.1 unit/kg body weight to more than 2.5 units/kg Type1

Initial doses typically range from 0.5-0.6 units/kg per day Type2

4

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