NU 641 through final content questions with
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verified detailed solutions ||//\\|| ||//\\||
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:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1.Lipase
2.Protease
3.Amylase
4.Pancreatin - correct answer✔✔1 ||//\\|| ||//\\|| ||//\\||
Brands of pancreatic enzyme replacement drugs are:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1.Bioequivalent
2.About the same in cost per unit of lipase across brands
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3.Able to be interchanged between generic and brand-name products to reduce cost -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
correct answer✔✔2 ||//\\||
When given subcutaneously, how long until neutral protamine Hagedorn insulin begins to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
take effect(onset of action) after administration?
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1.15 to 30 minutes
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2.60 to 90 minutes
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3.3 to 4 hours
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4.6 to 8 hours - correct answer✔✔2
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Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
symptoms of hypoglycemia include: ||//\\|| ||//\\|| ||//\\||
, 1."Fruity" breath odor and rapid respiration ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Diarrhea, abdominal pain, weight loss, and hypertension
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3. Dizziness, confusion, diaphoresis, and tachycardia
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4. Easy bruising, palpitations, cardiac dysrhythmias, and coma - correct answer✔✔3
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Nonselective beta blockers and alcohol create serious drug interactions with insulin because ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
they:
1. Increase blood glucose levels
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2. Produce unexplained diaphoresis
||//\\|| ||//\\|| ||//\\||
3. Interfere with the ability of the body to metabolize glucose
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Mask the signs and symptoms of altered glucose levels - correct answer✔✔4
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Lispro is an insulin analogue produced by recombinant DNA technology. Which of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following statements about this form of insulin is NOT true? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Optimal time of preprandial injection is 15 minutes.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Duration of action is increased when the dose is increased.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. It is compatible with neutral protamine Hagedorn insulin.
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4. It has no pronounced peak. - correct answer✔✔2
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The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
insulin to insulin glargine to improve glycemia control throughout the day. If this is done:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. The initial dose of glargine is reduced by 20% to avoid hypoglycemia.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. The initial dose of glargine is 2 to 10 units per day.
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3. Patients who have been on high doses of NPH will need tests for insulin antibodies.
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4. Obese patients may require more than 100 units per day. - correct answer✔✔1
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||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
verified detailed solutions ||//\\|| ||//\\||
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:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1.Lipase
2.Protease
3.Amylase
4.Pancreatin - correct answer✔✔1 ||//\\|| ||//\\|| ||//\\||
Brands of pancreatic enzyme replacement drugs are:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1.Bioequivalent
2.About the same in cost per unit of lipase across brands
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3.Able to be interchanged between generic and brand-name products to reduce cost -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
correct answer✔✔2 ||//\\||
When given subcutaneously, how long until neutral protamine Hagedorn insulin begins to
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
take effect(onset of action) after administration?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1.15 to 30 minutes
||//\\|| ||//\\|| ||//\\||
2.60 to 90 minutes
||//\\|| ||//\\|| ||//\\||
3.3 to 4 hours
||//\\|| ||//\\|| ||//\\||
4.6 to 8 hours - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
symptoms of hypoglycemia include: ||//\\|| ||//\\|| ||//\\||
, 1."Fruity" breath odor and rapid respiration ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Diarrhea, abdominal pain, weight loss, and hypertension
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Dizziness, confusion, diaphoresis, and tachycardia
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Easy bruising, palpitations, cardiac dysrhythmias, and coma - correct answer✔✔3
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Nonselective beta blockers and alcohol create serious drug interactions with insulin because ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
they:
1. Increase blood glucose levels
||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Produce unexplained diaphoresis
||//\\|| ||//\\|| ||//\\||
3. Interfere with the ability of the body to metabolize glucose
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Mask the signs and symptoms of altered glucose levels - correct answer✔✔4
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Lispro is an insulin analogue produced by recombinant DNA technology. Which of the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
following statements about this form of insulin is NOT true? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. Optimal time of preprandial injection is 15 minutes.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. Duration of action is increased when the dose is increased.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. It is compatible with neutral protamine Hagedorn insulin.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. It has no pronounced peak. - correct answer✔✔2
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH)
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
insulin to insulin glargine to improve glycemia control throughout the day. If this is done:
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
1. The initial dose of glargine is reduced by 20% to avoid hypoglycemia.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
2. The initial dose of glargine is 2 to 10 units per day.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
3. Patients who have been on high doses of NPH will need tests for insulin antibodies.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
4. Obese patients may require more than 100 units per day. - correct answer✔✔1
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
