NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
Chapter 18. Drugs Affecting the Endocrine System: Pancreatic Hormones and Antidiabetic
Drugs
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:
a.Lipase
b.Protease
c.Amylase
d.Pancreatin
Brands of pancreatic enzyme replacement drugs are:
a.Bioequivalent
b.About the same in cost per unit of lipase across brands
c.Able to be interchanged between generic and brand-name products to reduce cost
d.None of the above
When given subcutaneously, how long until neutral protamine Hagedorn insulin begins to take effect (onset of action) after administration?
a.15 to 30 minutes
b.60 to 90 minutes
c.3 to 4 hours
d.6 to 8 hours
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
and symptoms of hypoglycemia include:
a.“Fruity” breath odor and rapid respiration
b.Diarrhea, abdominal pain, weight loss, and hypertension c. Dizziness, confusion, diaphoresis, and tachycardia
d. Easy bruising, palpitations, cardiac dysrhythmias, and coma
Nonselective beta blockers and alcohol create serious drug interactions with insulin because they:
a.Increase blood glucose levels
b.Produce unexplained diaphoresis
c.Interfere with the ability of the body to metabolize glucose d. Mask the signs and symptoms of altered glucose levels
Lispro is an insulin analogue produced by recombinant DNA technology. Which of the following statements about this form of insulin is NOT true?
a.Optimal time of preprandial injection is 15 minutes.
b.Duration of action is increased when the dose is increased.
c.It is compatible with neutral protamine Hagedorn insulin.
d.It has no pronounced peak.
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin to insulin glargine to improve glycemia control NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
throughout the day. If this is done:
a.The initial dose of glargine is reduced by 20% to avoid hypoglycemia .
b.The initial dose of glargine is 2 to 10 units per day.
c.Patients who have been on high doses of NPH will need tests for insulin antibodies.
d.Obese patients may require more than 100 units per day.
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 ofthe following statements is accurate based on research?
a.Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia.
b.Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents.
c.Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long-acting insulins.
d.Patients who are not controlled on oral agents and have postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
a.Substitutes for insulin usually secreted by the pancreas b. Decreases glycogenolysis by the liver
c.Increases the release of insulin from beta cells
NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
d.Decreases peripheral glucose utilization
Prior to prescribing metformin, the provider should:
a.Draw a serum creatinine to assess renal function
b.Try the patient on insulin
c.Tell the patient to increase iodine intake
d.Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
The action of “gliptins” is different from other antidiabetic agents because they:
a.Have a low risk for hypoglycemia
b.Are not associated with weight gain
c.Close ATP-dependent potassium channels in the beta cell
d.Act on the incretin system to indirectly increase insulin production
Sitagliptin has been approved for:
a.Monotherapy in once-daily doses
b.Combination therapy with metformin
c. Both 1 and 2
d.Neither 1 nor 2
GLP-1 agonists:
a.Directly bind to a receptor in the pancreatic beta cell
b.Have been approved for monotherapy
c.Speed gastric emptying to decrease appetite
d.Can be given orally once daily
NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
Chapter 18. Drugs Affecting the Endocrine System: Pancreatic Hormones and Antidiabetic
Drugs
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:
a.Lipase
b.Protease
c.Amylase
d.Pancreatin
Brands of pancreatic enzyme replacement drugs are:
a.Bioequivalent
b.About the same in cost per unit of lipase across brands
c.Able to be interchanged between generic and brand-name products to reduce cost
d.None of the above
When given subcutaneously, how long until neutral protamine Hagedorn insulin begins to take effect (onset of action) after administration?
a.15 to 30 minutes
b.60 to 90 minutes
c.3 to 4 hours
d.6 to 8 hours
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
and symptoms of hypoglycemia include:
a.“Fruity” breath odor and rapid respiration
b.Diarrhea, abdominal pain, weight loss, and hypertension c. Dizziness, confusion, diaphoresis, and tachycardia
d. Easy bruising, palpitations, cardiac dysrhythmias, and coma
Nonselective beta blockers and alcohol create serious drug interactions with insulin because they:
a.Increase blood glucose levels
b.Produce unexplained diaphoresis
c.Interfere with the ability of the body to metabolize glucose d. Mask the signs and symptoms of altered glucose levels
Lispro is an insulin analogue produced by recombinant DNA technology. Which of the following statements about this form of insulin is NOT true?
a.Optimal time of preprandial injection is 15 minutes.
b.Duration of action is increased when the dose is increased.
c.It is compatible with neutral protamine Hagedorn insulin.
d.It has no pronounced peak.
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin to insulin glargine to improve glycemia control NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
throughout the day. If this is done:
a.The initial dose of glargine is reduced by 20% to avoid hypoglycemia .
b.The initial dose of glargine is 2 to 10 units per day.
c.Patients who have been on high doses of NPH will need tests for insulin antibodies.
d.Obese patients may require more than 100 units per day.
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 ofthe following statements is accurate based on research?
a.Premixed insulin analogues are better at lowering HbA1C and have less risk for hypoglycemia.
b.Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents.
c.Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long-acting insulins.
d.Patients who are not controlled on oral agents and have postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
a.Substitutes for insulin usually secreted by the pancreas b. Decreases glycogenolysis by the liver
c.Increases the release of insulin from beta cells
NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
d.Decreases peripheral glucose utilization
Prior to prescribing metformin, the provider should:
a.Draw a serum creatinine to assess renal function
b.Try the patient on insulin
c.Tell the patient to increase iodine intake
d.Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
The action of “gliptins” is different from other antidiabetic agents because they:
a.Have a low risk for hypoglycemia
b.Are not associated with weight gain
c.Close ATP-dependent potassium channels in the beta cell
d.Act on the incretin system to indirectly increase insulin production
Sitagliptin has been approved for:
a.Monotherapy in once-daily doses
b.Combination therapy with metformin
c. Both 1 and 2
d.Neither 1 nor 2
GLP-1 agonists:
a.Directly bind to a receptor in the pancreatic beta cell
b.Have been approved for monotherapy
c.Speed gastric emptying to decrease appetite
d.Can be given orally once daily
NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE PRESCRIBERS , 5TH EDITION TEST BANK FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022
