{"id":112675,"date":"2023-08-15T19:38:18","date_gmt":"2023-08-15T19:38:18","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=112675"},"modified":"2023-08-15T19:38:25","modified_gmt":"2023-08-15T19:38:25","slug":"nurs-5334-exam-3-latest-2023-2024-actual-exam-questions-and-correct-detailed-answers-100-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/nurs-5334-exam-3-latest-2023-2024-actual-exam-questions-and-correct-detailed-answers-100-verified-answers-already-graded-a\/","title":{"rendered":"NURS 5334 EXAM 3 LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) ||ALREADY GRADED A+"},"content":{"rendered":"\n<p>NURS 5334 EXAM 3 LATEST 2023-2024 ACTUAL EXAM<br>QUESTIONS AND CORRECT DETAILED ANSWERS (100%<br>VERIFIED ANSWERS) ||ALREADY GRADED A+<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>What drugs are used to treat gestational diabetes?<br>o Metformin and Insulin<\/li>\n\n\n\n<li>What A1C value indicates diabetes mellitus? Pre-DM?<br>o 6.5% or greater is considered diabetes<br>o 5.7-6.4% pre-diabetes<\/li>\n\n\n\n<li>What fasting and random values indicate DM?<br>o Fasting plasma glucose\u2014126 or greater is diabetes<br>o Random (casual) plasma glucose\u2014anything greater than 200 is diabetes<\/li>\n\n\n\n<li>What are complications of insulin therapy?<br>o Hypoglycemia<br>o Can develop lipohypertrophy<br>\u25aa Accumulation of subcutaneous fat that occurs when it is injected too frequentlyat<br>the same site<br>o Allergic reactions<br>\u25aa Characterized by red and intensely itchy welts, breathing becomes difficult<br>\u25aa If severe allergy develops:<\/li>\n\n\n\n<li>Desensitization procedure (small doses to larger doses)<br>o Hypokalemia<br>\u25aa Promotes the uptake of potassium cells and insulin activates a membrane-bound<br>enzyme with sodium potassium and ATPase that pumps potassium into the cells<br>and sodium out<\/li>\n\n\n\n<li>Drug interactions?<br>o Hypoglycemic agents<br>\u25aa Can intensify the hypoglycemia included by insulin<br>\u25aa Examples: sulfonylureas, glinides, alcohol<br>o Use with caution with hyperglycemic agents<br>\u25aa Examples: thiazide and glucocorticoids and sympathomimetics<\/li>\n\n\n\n<li>What effect do beta blockers have on insulin?<br>o delay awareness of and response to hypoglycemia by masking the signs that are<br>associated with stimulation of sympathetic nervous system<br>o Impair glycogenolysis<br>o Prevent the bodies counter-regulatory response<\/li>\n\n\n\n<li>What are other therapeutic uses besides DM?<br>o Hyperkalemia<br>o Aids in diagnosis of GH deficiency<br>o Diabetic ketoacidosis<\/li>\n\n\n\n<li>Insulin dosage must be coordinated with what?<br>o Carbohydrate intake<\/li>\n\n\n\n<li>What is B\/P goal in diabetic?<br>o To be controlled, within normal 120\/80<\/li>\n\n\n\n<li>What medication can be given to decrease risk of diabetic nephropathy?<br>o ACE inhibitor or ARB<\/li>\n<\/ul>\n\n\n\n<p>1<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>What role does exercise play in treatment of both type 1 and type 2 DM?<br>o Exercise increases cellular responsiveness to insulin and increases glucose tolerance<br>o 150 minute per week of moderate intensity exercise is recommended<\/li>\n\n\n\n<li>What are the 4 steps in the 4-step approach?<br>o Step 1\u2014diagnosis<br>\u25aa Lifestyle changes plus metformin<br>o Step 2<br>\u25aa Lifestyle changes plus metformin and a second drug (sulfonylurea, TZD or a<br>DPP4inhibitor, a sodium glucose cotransporter or SGLT-2 inhibitor, a glucagonlike peptide 1, or a GLP-1 receptor agonist or basal insulin<br>\u25aa Second drug choice made considering efficacy, the hypoglycemia risk of the<br>patient, the patient tolerability, and weight-related considerations (some help<br>weight loss, some cause weight gain), cost<br>o Step 3<br>\u25aa Three drug combination<\/li>\n\n\n\n<li>Metformin<\/li>\n\n\n\n<li>Plus 2 other drugs from step 2<br>o Decided based on a drug and patient specific considerations<br>o Step 4<br>\u25aa If 3 drug combination that includes basal insulin fails after 3-6 months, more<br>complex insulin regimen<br>\u25aa Usually in combination with one or more non-insulin medications<\/li>\n\n\n\n<li>When a patient is on insulin therapy what are the blood glucose goals before meals? At<br>bedtime?<br>o Before meals\u201470-130<br>o Bedtime\u2014100-140<\/li>\n\n\n\n<li>What is the A1C goal? When is goal below 7 not appropriate?<br>o 7% or below<br>o Those with severe hypoglycemia risk, limited life expectancy, advanced microvascular or<br>macrovascular complications\u2014not below 7<\/li>\n\n\n\n<li>What are the short acting insulins? Intermediate? Long acting?<br>o Short duration: Rapid acting<br>\u25aa Insulin lispro [Humalog]<br>\u25aa Insulin aspart [NovoLog]<br>\u25aa Insulin glulisine [Apidra]<br>o Short duration: Slower acting<br>\u25aa Regular insulin [Humulin R, Novolin R]<br>o Intermediate duration<br>\u25aa Neutral protamine Hagedorn (NPH) insulin<br>\u25aa Insulin detemir [Levemir]<br>o Long duration<br>\u25aa Insulin glargine<\/li>\n\n\n\n<li>When are short duration insulins used?<br>2<\/li>\n<\/ul>\n\n\n\n<p>o Administered in association with meals to control the post-prandial rise in blood glucose<br>between meals and at night<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>When are intermediate insulins needed?<br>o Administer 2-3 times daily to provide glycemic control between meals and during the<br>night<\/li>\n\n\n\n<li>How long is duration of glargine? Levemir? Degludec?<br>o Glargine\u2014up to 24 hours<br>o Levemir<br>\u25aa Low dose (0.2 units\/kg)\u201412 hours<br>\u25aa High doses (0.4 units\/kg)\u201420-24 hours<br>o Degludec\u2014up to 42 hours<\/li>\n\n\n\n<li>What are routes of administration? Which can be inhaled?<br>o SQ injection<br>o IV infusion<br>o Inhalation\u2014Afrezza, mealtime insulin<\/li>\n\n\n\n<li>What is typical dosing for type 1? Type 2?<br>o Total doses may range from 0.1 unit\/kg body weight to more than 2.5 units\/kg<br>o Type 1<br>\u25aa Initial doses typically range from 0.5-0.6 units\/kg per day<br>o Type 2<br>\u25aa Initial doses range from 0.2-0.6 units\/kg per day<br>\u25aa Dosage increased or decreased according to carb intake, activity<\/li>\n\n\n\n<li>What are the 3 dosing schedules?<br>o Twice daily dosing<br>o Intensive basal\/bolus strategy<br>o Continued subcutaneous insulin<\/li>\n\n\n\n<li>How does metformin work?<br>o Inhibits glucose production in the liver<br>o Reduces glucose absorption in the gut<br>o Sensitizes insulin receptors in target tissues (fat and skeletal muscle) thus increase<br>glucose uptake and response to whatever insulin is available<\/li>\n\n\n\n<li>What are side effects? BB warning?<br>o GI effects\u2014diarrhea<br>o Lactic acidosis<\/li>\n\n\n\n<li>How does alcohol effect?<br>o Inhibits the breakdown of lactic acid<\/li>\n\n\n\n<li>What are the therapeutic uses other than DM?<br>o Gestational diabetes<br>o PCOS<\/li>\n\n\n\n<li>Sulfonylureas<br>o First generation<br>\u25aa Chlorpropamide [Diabinese]<br>\u25aa Tolazamide [Tolinase]<br>3<br><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>NURS 5334 EXAM 3 LATEST 2023-2024 ACTUAL EXAMQUESTIONS AND CORRECT DETAILED ANSWERS (100%VERIFIED ANSWERS) ||ALREADY GRADED A+ 1 o Administered in association with meals to control the post-prandial rise in blood glucosebetween meals and at night<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112675","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112675"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112675\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}