NSG 6005 WEEK 8 Quiz with 100% Correct Answers

NSG 6005 WEEK 8 Quiz with 100% Correct Answers When blood glucose levels are difficult to control in type II diabetes, some form of insulin may be added to the treatment regimen to control blood glucose and limit complications risks. Which of the following statements are accurate based on research? A. Premixed insulin analogues are better at lowering hemoglobin A1c 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 hemoglobin A1c and postprandial glucose levels than are long-acting insulins. D. Patients who are not controlled on oral agents and have postprandial hyperglycemia can have NPH insulin added at bedtime. - Answer- C. Newer premixed insulins are better at lowering hemoglobin A1c and postprandial glucose levels than are long-acting insulins. The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes? A. Fasting blood glucose B. Hemoglobin A1c C. Thyroid function tests D. Electrocardiograms - Answer- B. Hemoglobin A1c Adam has type I diabetes and plays tennis for his university. He exhibits a knowledge deficit about his insulin and his diagnosis. He should be taught that: A. He should increase his CHO intake during times of exercise. B. Each brand of insulin is equal in bioavailability, so buy the least expensive. C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small amounts. D. If he does not want to learn to give himself injections, he may substitute an oral hypoglycemic to control his diabetes. - Answer- A. He should increase his CHO intake during times of exercise. Lispro is an insulin analogue produced by recombinant deoxyribonucleic acid (DNA) technology. Which of the following statements about this form of insulin is not true? A. The optimal time of preprandial injection is fifteen minutes. B. The duration of action is increased when the dose is increased. C. It is compatible with NPH insulin. D. It has no pronounced peak. - Answer- B. The duration of action is increased when the dose is increased. Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality. The most reliable indicator of poor nutritional status in older adults is: A. Weight loss in previously overweight persons B. Involuntary loss of 10% of body weight in less than six months C. Decline in lean body mass over a twelve-month period D. Increase in central versus peripheral body adiposity - Answer- B. Involuntary loss of 10% of body weight in less than six months DPP-4 inhibitors (gliptins) act on the incretin system to improve glycemic control. Advantages of these drugs include: A. Better reduction in glucose levels than other classes B. Less weight gain than sulfonylureas C. Low risk for hypoglycemia D. Can be given twice daily - Answer- C. Low risk for hypoglycemia Insulin is used to treat both types of diabetes. It acts by: A. Increasing beta cell response to low blood glucose levels B. Stimulating hepatic glucose production C. Increasing peripheral glucose uptake by skeletal muscle and fat D. Improving the circulation of free fatty acids - Answer- C. Increasing peripheral glucose uptake by skeletal muscle and fat Control targets for patients with diabetes include: A. Hemoglobin A1c between 7 and 8 B. Fasting blood glucose levels between 100 and 120 mg/dl C. Blood pressure less than 130/80 mm Hg D. LDL lipids less than 130 mg/dl - Answer- C. Blood pressure less than 130/80 mm Hg Hypoglycemia can result from the action of either insulin or an oral hy