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WEEK 5 NR 546 PRACTICE ACTUAL FINAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS 2024 (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!$17.99
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WEEK 5 NR 546 PRACTICE ACTUAL FINAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS 2024 (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
How to confirm a diabetes diagnosis prior to beginning tx? - ANSWERFPG 126 or higher
on 2 separate occasions.
Random plasma glucose 200 or greater with symptoms on 2 separate occasions.
A1c 6.5% or higher.
A1c general goals - ANSWERLess than 7%
Less than 8% in patients with severe hypoglycemia, limited life expectancy, or advanced
microvascular or macrovascular complications.
A1c goal older adult - ANSWERLess than 8%
When should insulin be considered in type 1 DM? - ANSWERAlways
When should insulin be considered in type 2 DM? - ANSWERStep 4 of the ADA guideline
after a 3 drug combination is unsuccessful; or in patients with an A1c 10% or greater.
When should A1c be rechecked? - ANSWEREvery 3-6 months.
Who should avoid use of pioglitazone (TZD)? - ANSWERHF- fluid retention
What is the primary defect in type 1 diabetes? - ANSWERDestruction of pancreatic β
cells
The symptoms of type 2 diabetes result from what? - ANSWERInsulin resistance and
impaired insulin secretion.
,What is gestational diabetes? - ANSWERAppears in the pregnant patient during
pregnancy and then subsides rapidly after delivery.
How should gestational diabetes be managed? - ANSWERDiscontinue the oral drug and
switch to insulin.
How do we diagnose diabetes? - ANSWERFasting plasma glucose ≥126 mg/dL Or
Random plasma glucose ≥ 200 mg/dL plus symptoms of diabetes Or Oral glucose
tolerance test (OGTT): 2-h plasma glucose ≥200 mg/dL or Hemoglobin A1c 6.5% or
higher.
Is a fasting blood glucose of 125 consistent with pre-diabetes or diabetes? - ANSWERPre
What is a hemoglobin A1C of 5.7? - ANSWERPre
A random plasma glucose of ____ is suggestive of diabetes. - ANSWER200
What are the "classic" signs of diabetes? - ANSWERPolyuria, polydipsia, and
unexplained weight loss. Ketonuria may also be present only if blood glucose is
extremely high.
What are the Glycemic Treatment Targets for someone with diabetes? -
ANSWERMaintain A1c levels below 7.0%.
Keep pre-meal plasma glucose levels between 70-130 mg/dL.
How often should an A1c be drawn for someone with an initial A1c >7? - ANSWEREvery
3, then every 6 once lower than 7%.
What are the three ways that insulin deficiency promotes hyperglycemia? - ANSWER(1)
increased glycogenolysis.
, (2) increased gluconeogenesis.
(3) reduced glucose utilization.
When drawing two insulins into one syringe, which insulin should be drawn up first
Humulin R or Humulin N? - ANSWERR
Clear before cloudy
What is the expected onset of Aspart (Novolog)? - ANSWER10-20
Rapid
What is the expected onset of Regular (Humulin R, Novolin R)? - ANSWER30-60
Short
What is the expected onset of NPH (Humulin N, Novolin N)? - ANSWER60-120
Intermediate
What is the expected onset of Insulin glargine (U-100)? - ANSWER70
Long
Within how many minutes of a meal should Insulin Lispro (Humalog) be administered? -
ANSWER15 min before or after meal.
Rapid acting, covers one meal at a time.
When might insulin needs increase? - ANSWERInfection, stress, obesity, adolescent
growth spurt, and after the first trimester of pregnancy.
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