Maryville NUR 615 Exam 3 Latest Update 2023-2024 127 Questions and Verified Correct Answers Guaranteed Success A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with - Correct Answer:Propylthiouracil (PTU)
Administration of exenatide is by subcutaneous injection: - Correct Answer:60 minutes prior to the morning and evening meal
All diabetic patients with known cardiovascular disease should be treated with - Correct
Answer:Angiotensin-converting enzyme inhibitors and aspirin to reduce risk of
cardiovascular events
An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone? - Correct Answer:Non-dihydropyridine calcium channel blockers
Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they: -
Correct Answer:Reduce sodium and water retention
decrease vasoconstriction increase vasodilitation
Annamarie has type 2 diabetes and a high triglyceride level. She has gemfibrozil prescribed to treat her hypertriglyceridemia. A history of which of the following might
contraindicate the use of this drug - Correct Answer:Gallbladder disease
Avoid concurrent administration of exenatide with which of the following drugs? -
Correct Answer:Digoxin, warfarin, lovastatin
Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they: - Correct Answer:Deplete body sodium ad reduce fluid volume
Before starting therapy with a statin, the following baseline laboratory values should be
evaluated - Correct Answer:Liver function (AST/ALT) and creatinine kinase
Beta blockers treat hypertension because they - Correct Answer:Reduce peripheral resistance
Both angiotensin converting enzyme inhibitors and some angiotensin II receptor blockers have been approved in treating: - Correct Answer:Diabetic nephropathy
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Bridgette is a 19-year-old college student with type 1 diabetes. Bridgette's pre-meal BG at 11:30 a.m. is 130. She eats an apple and has a sugar-free soft drink. At 1 p.m. before
swimming her BG is 80. What should she do - Correct Answer:Eat a granola bar or
other snack with carbs
Bridgette is a 19-year-old college student with type 1 diabetes. She is on NPH twice daily and Novolog before meals. She usually walks for 40 minutes each evening as part of her exercise regimen. She is beginning a 30-minute swimming class three times a week at 1 p.m. What is important for her to do with this change in routine? - Correct
Answer:Check glucose before, during, and after swimming. Exercise can lower BG
Calcium channel blockers are used as medications and primarily have four effects: - Correct Answer:by acting on vascular smooth muscle they reduce contraction in arteries and causes an increase in arterial diameter a phenomenon called vasodilatations.Calcium channel blockers do not work on venous smooth muscle.by acting on cardiac muscles or the myocardium they reduce the force of the contraction of the heart.by slowing down the conduction of electrical activity within the heart they slow down the heart rate.by blocking calcium signal on adrenal cortex cells, they reduce aldosterone production which collaborates to lower blood pressure.
Commercials on TV for erectile dysfunction (ED) medications warn about mixing them
with nitrates. Why? - Correct Answer:profound hypotension
Cynthia is a 65-year-old patient who has been on a lipid-lowering diet and using plant sterol margarine daily for the past 3 months. Her LDL is 135 mg/dL. An appropriate treatment for her would be: - Correct Answer:determined by her risk factors
Dipeptidyl peptidase-4 inhibitors (gliptins) act on the incretin system to improve glycemic control. Advantages of these drugs include - Correct Answer:Low risk for hypoglycemia
Direct renin inhibitors have the following properties. They: - Correct Answer:shut down entire RAAS cycle
Elderly patients who are started on levothyroxine for thyroid replacement should be
monitored for - Correct Answer:tachycardia, angina
Ethnic groups differ in their risk for and presentation of diabetes. Hispanics: - Correct Answer:Have a high incidence of obesity, elevated triglycerides, and hypertension and Do best with drugs that foster weight loss, such as metformin
Felicity has been prescribed colestipol to treat her hyperlipidemia. Unlike other anti- lipidemics, this drug - Correct Answer:Exchanges chloride ions for negatively charged acids in the bowel.
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