Nurs 5334 Exam 3 Latest Update - Actual Exam 150 Questions and 100% Verified Correct Answers Guaranteed A+
3 Dosing Schedules - CORRECT ANSWER: o Twice daily dosing
- Intensive basal/bolus strategy
- Continued subcutaneous insulin
4-Step Approach Steps - CORRECT ANSWER: Step 1: Diagnosis and lifestyle changes plus metformin. Step 2: Lifestyle changes, metformin, and a second drug. Step 3: Three
drug combination. Step 4: Complex insulin regimen if needed.
A1C Goal and Exceptions - CORRECT ANSWER: A1C goal is 7% or below.
Exceptions: Severe hypoglycemia risk, limited life expectancy, advanced complications.
A1C Reduction Percentage - CORRECT ANSWER: 0.5%
A1C Value for Diabetes Mellitus - CORRECT ANSWER: 6.5% or greater is diabetes,
5.7-6.4% pre-diabetes
Actions of H2 Receptors - CORRECT ANSWER: Regulate the secretion of gastric acid
Activation of H1 Receptors - CORRECT ANSWER: Causes dilation of small blood
vessels
Acute Otitis Media (AOM)/Otitis Externa - CORRECT ANSWER: AOM: Causative bacteria - Strep pneumoniae, Haemophiles influenzae, Moraxella catarrhalis Prevention: Breastfeeding, avoiding childcare centers during infections, reducing pacifier use, flu and streptococcus pneumoniae vaccine
Treatment: High dose amoxicillin, amoxicillin-clavulanate, tympanostomy tubes
Adverse Effects - CORRECT ANSWER: Sedation, GI effects, Dizziness, Fatigue,
Coordination problems, Confusion, Anticholinergic effects, Severe respiratory depression, Severe local tissue injury
Adverse Effects of Estrogen - CORRECT ANSWER: Endometrial hyperplasia and
carcinoma, increased cardiovascular events, N/V, gallbladder disease, jaundice, headache, and chloasma.
Adverse Effects of Oral Forms? - CORRECT ANSWER: Short-term therapy—none.
Long-term therapy: Adrenal suppression, Osteoporosis, Hyperglycemia, Peptic ulcer disease, Growth suppression in young patients.
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Adverse Effects of Testosterone - CORRECT ANSWER: Virilization in women, girls,
and boys. Premature epiphyseal closure. Hepatotoxicity. Effects on cholesterol levels.Use in pregnancy. Prostate cancer. Edema. Abuse potential (athletic performance)
Adverse Effects? - CORRECT ANSWER: Adrenal suppression, Oropharyngeal
candidiasis, Dysphonia
Age Related Macular Degeneration - CORRECT ANSWER: Dry: Drusen—yellow deposits under retina, Treatment with high doses of antioxidants and zinc Wet: Growth of fragile subretinal blood vessels, Treatment with laser therapy or angiogenesis inhibitors
Alcohol Effect - CORRECT ANSWER: Inhibits the breakdown of lactic acid
Allergic Conjunctivitis - CORRECT ANSWER: Mast-cell stabilizers
NSAIDs (ketorolac) Side effects with long term use: Cataract, eye infection, elevation of intraocular pressure Ocular decongestants activate alpha one adrenergic receptor, causing vasoconstriction
Allergic Rhinitis - CORRECT ANSWER: Inflammatory disorder of upper airway, lower airway, and eyes, Seasonal and perennial, Triggered by airborne allergens, Allergens bind to IgE on mast cells, Release of inflammatory mediators like histamine, leukotrienes, prostaglandins
Alpha-Glucosidase Inhibitors - CORRECT ANSWER: Effective in Latinos and African
Americans
Alpha1-adrenergic Antagonists - CORRECT ANSWER: Terazosin [Hytrin], Doxazosin
[Cardura], Tamsulosin [Flomax], Alfuzosin [Uroxatral], Silodosin [Rapaflo] MOA: Blockade of alpha1 receptors relaxes smooth muscle in the bladder neck (trigone and sphincter)
Antacid Families - CORRECT ANSWER: Aluminum, Magnesium, Calcium, Sodium
Approved Indications for Hormone Therapy - CORRECT ANSWER: o Treatment of
moderate to severe vasomotor symptoms associated with menopause
- Treatment of moderate to severe symptoms of vulvar and vaginal atrophy associated
- Prevention of postmenopausal osteoporosis
with menopause
Armour - CORRECT ANSWER: Consists of desiccated animal thyroid glands
Standardized based on iodine, levothyroxine, liothyronine content
Ratio of T4 to T3 not less than 5:1
Asthma/COPD - CORRECT ANSWER: Asthma—result from inflammation and
bronchoconstriction. COPD—result from chronic bronchitis and emphysema.
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