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NU 641 through final content Exam questions with correct answers.
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NU 641 through final content Examquestions with correct answers
Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic
secretions. Each replacement drug has lipase, protease, and amylase components,
but the drug is prescribed in units of:
1.Lipase
2.Protease
3.Amylase
4.Pancreatin - correct answer -1
Brands of pancreatic enzyme replacement drugs are:
1.Bioequivalent
2.About the same in cost per unit of lipase across brands
3.Able to be interchanged between generic and brand-name products to reduce
cost - correct answer -2
When given subcutaneously, how long until neutral protamine Hagedorn insulin
begins to take effect(onset of action) after administration?
1.15 to 30 minutes
2.60 to 90 minutes
3.3 to 4 hours
4.6 to 8 hours - correct answer -2
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic.
Signs and symptoms of hypoglycemia include:
1."Fruity" breath odor and rapid respiration
2. Diarrhea, abdominal pain, weight loss, and hypertension
3. Dizziness, confusion, diaphoresis, and tachycardia
4. Easy bruising, palpitations, cardiac dysrhythmias, and coma - correct answer -3
, Nonselective beta blockers and alcohol create serious drug interactions with insulin
because they:
1. Increase blood glucose levels
2. Produce unexplained diaphoresis
3. Interfere with the ability of the body to metabolize glucose
4. Mask the signs and symptoms of altered glucose levels - correct answer -4
Lispro is an insulin analogue produced by recombinant DNA technology. Which of
the following statements about this form of insulin is NOT true?
1. Optimal time of preprandial injection is 15 minutes.
2. Duration of action is increased when the dose is increased.
3. It is compatible with neutral protamine Hagedorn insulin.
4. It has no pronounced peak. - correct answer -2
The decision may be made to switch from twice daily neutral protamine Hagedorn
(NPH) insulin to insulin glargine to improve glycemia control throughout the day. If
this is done:
1. The initial dose of glargine is reduced by 20% to avoid hypoglycemia.
2. The initial dose of glargine is 2 to 10 units per day.
3. Patients who have been on high doses of NPH will need tests for insulin
antibodies.
4. Obese patients may require more than 100 units per day. - correct answer -1
When blood glucose levels are difficult to control in type 2 diabetes some form of
insulin may be added to the treatment regimen to control blood glucose and limit
complication risks. Which of the following statements is accurate based on
research?
1. Premixed insulin analogues are better at lowering HbA1C and have less risk for
hypoglycemia.
2. Premixed insulin analogues and the newer premixed insulins are associated with
more weight gain than the oral antidiabetic agents.
3. Newer premixed insulins are better at lowering HbA1C and postprandial glucose
levels than long-acting insulins.
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