Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition By Teri Moser Woo; Marylou V. Robinson Chapter 1-55 Complete Guide A+

NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022 m m




Chapter 18. Drugs Affecting the Endocrine System: Pancreatic Hormones and Antidiabeti
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c Drugs
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• Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic se
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cretions. Each replacement drug has lipase, protease, and amylase components, but th
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e drug is prescribed in units of:
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a. Lipase
b. Protease
c. Amylase
d. Pancreatin
• Brands of pancreatic enzyme replacement drugs are:
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a. Bioequivalent
b. About the same in cost per unit of lipase across brands
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c. Able to be interchanged between generic and brand-name products to reduce cost
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d. None of the above m m m




• When given subcutaneously, how long until neutral protamine Hagedorn insulin begins to t
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ake effect (onset of action) after administration?
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a. 15 to 30 minutes m m m




b. 60 to 90 minutes m m m




c. 3 to 4 hours m m m




d. 6 to 8 hours m m m




• Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs
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NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022 m m

,NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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and symptoms of hypoglycemia include:
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a. “Fruity” breath odor and rapid respiration m m m m m




b. Diarrhea, abdominal pain, weight loss, and hyp m m m m m m



ertension c. Dizziness, confusion, diaphoresis, and
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tachycardia
d. Easy bruising, palpitations, cardiac dysrhythmias, and coma
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• Nonselective beta blockers and alcohol create serious drug interactions with insulin because th
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ey:
a. Increase blood glucose levels m m m




b. Produce unexplained diaphoresis m m




c. Interfere with the ability of the body to metaboliz
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e glucose d. Mask the signs and symptoms of altered
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glucose levels m



• Lispro is an insulin analogue produced by recombinant DNA technology.
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Which of the following statements about this form of insulin is NOT true
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?
a. Optimal time of preprandial injection is 15 minutes.
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b. Duration of action is increased when the dose is increased.
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c. It is compatible with neutral protamine Hagedorn insulin.
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d. It has no pronounced peak.
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• The decision may be made to switch from twice daily neutral protamine Ha
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NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022m m

,NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022
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gedorn (NPH) insulin to insulin glargine to improve glycemia control throug
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hout the day. If this is done:
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a. The initial dose of glargine is reduced by 20% to avoid hypoglycemia.
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b. The initial dose of glargine is 2 to 10 units per day.
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c. Patients who have been on high doses of NPH will need tests for insulin antibodies.
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d. Obese patients may require more than 100 units per day.
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• When blood glucose levels are difficult to control in type 2 diabetes some form
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of insulin may be added to the treatment regimen to control blood glucose and li
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mit complication risks.
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Which ofthe following statements is accurate based on research?
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a. Premixed insulin analogues are better at lowering HbA1C and have
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less risk for hypoglycemia.
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b. Premixed insulin analogues and the newer premixed insulins are associat
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ed with more weight gain than the oral antidiabetic agents.
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c. Newer premixed insulins are better at lowering HbA1C and postpra
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ndial glucose levels than long-acting insulins.
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d. Patients who are not controlled on oral agents and have postprandial hy
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perglycemia can have neutral protamine Hagedorn insulin added at bedti
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me.
• Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it:
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a. Substitutes for insulin usually secreted by the m m m m m m m



pancreas b. Decreases glycogenolysis by the liver
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NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022
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, NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022 m m




c. Increasesmthemreleasemofminsulinmfrommbetamcells

d. Decreasesmperipheralmglucosemutilization

• Prior to prescribing metformin, the provider should:
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a. Draw a serum creatinine to assess renal function
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b. Try the patient on insulin
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c. Tell the patient to increase iodine intake
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d. Have the patient stop taking any sulfonylurea to avoid dangerous drug interactions
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• The action of “gliptins” is different from other antidiabetic agents because they:
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a. Have a low risk for hypoglycemia
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b. Are not associated with weight gain
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c. Close ATP-dependent potassium channels in the beta cell
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d. Act on the incretin system to indirectly increase insulin production
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• Sitagliptin has been approved for:
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a. Monotherapy in once-daily doses m m m



b. Combination therapy with metformin m m m



c. Both 1 and 2
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d. Neither 1 nor 2 m m m



• GLP-1 agonists: m




a. Directly bind to a receptor in the pancreatic beta cell
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b. Have been approved for monotherapy
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c. Speed gastric emptying to decrease appetite
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NURS 60441 PHARMACOTHERAPEUTICS FOR ADVANCED PRACTIC
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E NURSE PRESCRIBERS, 5TH EDITION TEST BANK FINAL EXAM QU
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ESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS L
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ATEST UPDATE 2022 m m