Final Exam: NR 565 / NR565 (Latest 2023/ 2024 Update) Advanced Pharmacology Exam Review | Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers -Chamberlain

Final Exam: NR 565 / NR565 (Latest 2023/ 2024 Update) Advanced Pharmacology Exam Review | Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers -Chamberlain QUESTION A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis? Answer: -Cannot confirm because you need a second A1C after 3 months (value is borderline) QUESTION An A1C of is considered prediabetes. Answer: 5.7%-6.4% QUESTION A random glucose of is considered diabetic. Answer: 200 with signs and symptoms QUESTION A person with diabetes has recurrent severe hypoglycemia events. What should his A1C goal be? Answer: 8% QUESTION When is it okay for a patient to have an A1C goal of 6.5%? Answer: When they can tolerate it and have no comorbidities. QUESTION How often should an A1C be monitored when stable or when unstable?- Answer: -Stable: every 6 months -Unstable: every 3 months (A1C of 7 or >) QUESTION A person comes in with an A1C of 10% and a fasting blood glucose of >300.What are the next steps for the provider? Answer: -Start insulin (when A1C is above >9% start at step 2= insulin combo therapy) QUESTION Who should not take Metformin? Answer: -Due to increased risk of Lactic acidosis: patients with CHF, older than 80 years of age, kidney disease (Renal insufficiency) QUESTION Sulfonylureas should not be used during or with or impairments. Answer: -Pregnancy -Liver -Renal QUESTION A patient who has a history of bladder cancer and HF should avoid what class of DM meds? Answer: Pioglitazones -Can cause renal fluid retention associated with HF QUESTION When is it appropriate to increase insulin needs? Answer: -Pregnancy -Infection -Stress -Growth spurts QUESTION What is the TDD of a person that weighs 70kg? Answer: TDD= (Kgx0.6) 50% will be long acting 50% Rapid acting QUESTION IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD from the above question? Answer: 500 / TDD = Carb to insulin ratio 500/42 = 11.9 50/ 11 = 4.5 Units QUESTION Metformin Answer: -Best antidiabetic for patients that skip meals -Can be used to treat PCOS QUESTION A patient states that she will take her insulin lispro 30-60 minutes before a meal? Answer: Nope- must be within 15-30 mins of meal QUESTION "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it". Answer: Nope- Only NPH can be mixed with short acting -Always draw regular (Clear) before NPH (Cloudy) QUESTION A patient states, "My sugars have been around 65-68 at times but I feel like the med is working". Answer: Nope- Values are too low -Hypoglycemia unawareness, need to educate QUESTION