NURS 615 EXAM IV - MARYVILLE 2023
LATEST QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
How will you prescribe lipase, protease, and amylase components? - ANSWER
Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic
secretions each replacement drug has amylase,...
NURS 615 EXAM IV - MARYVILLE 2023
LATEST QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
How will you prescribe lipase, protease, and amylase components? - ANSWER
Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic
secretions each replacement drug has amylase, lipase and protease components,
however the drug is prescribed in units of lipase
What is the medication of choice for hypertensive crisis with pheochromocytoma? -
ANSWER Surgical resection of the tumor is the first treatment of choice either my
open laparotomy or laparoscopy either surgical option requires prior treatment of
nonspecific irreversible adrenergic adraonoreceptor blocker phenoxybenzamine or
a shorter acting alpha antagonists, prazosin, terazosin, and doxazosin. Mainly use
phenozibenamine in practice. Doing so promotes the surgery to proceed while
minimizing the likelihood of severe intraoperative hypertension which is likely when
the tumor is manipulated.
What is the onset of action, peak of action, and duration of action of each insulin
preparation? - ANSWER (Intermediate Acting) NPH
Onset-60-90 min after administration,
Peak 48 hrs
Duration 10-18 hrs.
(Short Acting) Regular Onset 30-60 min
Peak 2-4 hrs
Duration 6-10 hrs
,NURS 615 EXAM IV - MARYVILLE 2023
LATEST QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
(Long Acting) Aspart, Lispro, Glulisine
Onset less than 15 min
Peak 1-2 hrs
Duration 3-6 hrs
(Long Acting) Glargine, Detemir
Onset 1-2 hrs
Peak NO PEAK
Duration 24 hrs
Identify the symptoms of hypoglycemia, hyperglycemia, and ketoacidosis. -
uptake by inducing the phosphorilization of glu4 enhancer factor, decreases insulin
induced suppression of fatty acid oxidation, and decreases absorption of glucose
from the GI tract. Also of note** Metformin helps reduce LDL cholesterol and
triglyceride levels and is not associated with weight gain, in some people it helps
promote weight loss**
What diagnostic testing is required before and throughout therapy with metformin? -
ANSWER Metformin is not metabolized, it is cleared from the body by tubular
secretion and is secreted unchanged in the urine. Metformin is undetectable in
blood plasma within 24 hrs of a single oral dose the average elimination half-life in
plasma is 6.2 hrs as it is secreted in the urine you should check a serum crt to
assess renal function.
What is the action of gliptin? - ANSWER The mechanism of DDP-4 inhibitors is
to increase incretin levels incretin are GLP1 and GIP which inhibit glucagon release
in which in turn increases insulin secretion, decreases gastric emptying, and
decreases blood glucose levels
How do GLP agonists work? - ANSWER They bind directly to a receptor in the
pancreatic beta cell. These agents work in the same pathway as the DPP-4
inhibitors as mentioned above but are generally considered more potent.
When should exenatide be administered? - ANSWER 60 minutes prior to the
morning and evening meal
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