NURS 5334 EXAM 3 LATEST ACTUAL EXAM

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NURS 5334 EXAM 3 LATEST ACTUAL EXAM|

PHARM EXAM 3 REAL EXAM QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS ) ALREADY GRADED A +

Types of Insulins - ANSWER - Short acting: Rapid acting insulins.

Intermediate: NPH insulin, insulin detemir. Long acting: Insulin glargine.

Use of Short Duration Insulins - ANSWER - Administered with meals to control post-prandial blood glucose rise.

Need for Intermediate Insulins - ANSWER - Administered 2-3 times daily for glycemic control between meals and at night.

Duration of Insulins - ANSWER - Glargine: Up to 24 hours. Levemir:

12-24 hours. Degludec: Up to 42 hours.

Routes of Insulin Administration - ANSWER - Subcutaneous injection

and IV infusion. Inhalation: Afrezza for mealtime insulin.

Insulin Dosing for Type 1 and Type 2 - ANSWER - Type 1: Initial doses

0.5-0.6 units/kg/day. Type 2: Initial doses 0.2-0.6 units/kg/day, adjusted

based on carb intake and activity.

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• Dosing Schedules - ANSWER - o Twice daily dosing
• Intensive basal/bolus strategy
• Continued subcutaneous insulin

Metformin Mechanism of Action - ANSWER - o Inhibits glucose production in the liver

• Reduces glucose absorption in the gut
• Sensitizes insulin receptors in target tissues (fat and skeletal muscle) to

increase glucose uptake and response to insulin

Metformin Side Effects and BB Warning - ANSWER - o GI effects— diarrhea

• Lactic acidosis

Alcohol Effect - ANSWER - Inhibits the breakdown of lactic acid

Therapeutic Uses Other Than DM - ANSWER - o Gestational diabetes

• PCOS

What is the mechanism of action of Psyllium? - ANSWER - Acts as a bulk-forming laxative by absorbing water in the intestine, forming a gel- like substance that promotes bowel movements

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pg. 3 What is the primary use of Bisacodyl? - ANSWER - Stimulant laxative that is commonly used to provide relief from constipation within 6-12 hours

What are the potential adverse effects of Docusate Sodium? - ANSWER

• Surfactant laxative that may cause abdominal discomfort, cramps, or

diarrhea if used in excess

How do Osmotic Laxatives like Milk of Magnesia work? - ANSWER - They draw water into the intestines to soften stool and promote bowel movements, with low doses acting within 6-12 hours

What is the primary indication for Sucralfate? - ANSWER - Creates a protective barrier in the stomach to aid in the treatment of acute ulcers and for maintenance therapy

If not treated, what does Hypothyroidism cause in an infant? - ANSWER

• Large protruding tongue, potbelly, and dwarfish stature

Development of nervous system, bones, and teeth impaired

When should treatment be stopped? How long? - ANSWER - At 3 years of age for 4 weeks, then TSH is checked Rise indicates permanent deficiency, normalize indicates transient deficiency

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