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UPDATED NURS 615 EXAM IV - MARYVILLE 2024/2025 LATEST QUESTIONS WITH COMPLETE SOLUTIONS RATED (A+) $13.49
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UPDATED NURS 615 EXAM IV - MARYVILLE 2024/2025 LATEST QUESTIONS WITH COMPLETE SOLUTIONS RATED (A+)
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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,...

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  • November 30, 2023
  • 27
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nurs 615 exam iv
  • nurs 615
  • maryville nurs 615 exam iv
  • updated nurs 615 exam iv maryville la
  • updated nurs 615 exam iv maryville la
  • updated nurs 615 exam iv maryville la

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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. -

ANSWER Hypoglycemia- dizziness, confusion, diaphoresis, tachycardia

Hyperglycemia- polyphagia, polydipsia, polyuria, blurred vision, and fatigue

Ketoacidosis- hallmark symptoms include acetone breath like nail polish remover or

fruity breath. Also abdominal pain, nausea, vomiting and sob.

When changing from NPH to glargine insulin, how will you adjust the patient's

dose? - ANSWER The initial dose of glargine is reduced by 20% to prevent

hypoglycemia.

How does metformin work? - ANSWER Decreases hyperglycemia by

decreasing hepatic glucose production called hepatic gluconeogenesis. The

average person with type 2 diabetes has three times the rate of gluconeogenesis,

metformin treatment reduces this by over 1/3rd. The molecular mechanism of

metformin isn't completely understood. In addition to suppressing hepatic glucose

, NURS 615 EXAM IV - MARYVILLE 2023
LATEST QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
production, metformin increases insulin sensitivity, enhances peripheral glucose

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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