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NURS 615 exam 3 Version A& B 2025, Maryville University nursing exam questions, verified NURS 615 answers, NURS 615 study guide PDF, NURS 615 exam prep 2025, graded A+
Version A When blood glucose levels are difficult to control in type 2 diabetes some form of insulin may be added to the treatment regimen to control blood glucose and limit complication risks.Which of the following statements is accurate based on research?
- Newer premixed insulins are better at lowering HbA1C and
- Premixed insulin analogues are better at lowering HbA1C and
- Patients who are not controlled on oral agents and have
- Premixed insulin analogues and the newer premixed insulins
postprandial glucose levels than long-acting insulins.
have less risk for hypoglycemia.
postprandial hyperglycemia can have neutral protamine Hagedorn insulin added at bedtime.
are associated with more weight gain than the oral antidiabetic agents. - ANSWER-a. Newer premixed insulins are better at lowering HbA1C and postprandial glucose levels than long- acting insulins. 1 / 4
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The decision may be made to switch from twice daily neutral protamine Hagedorn (NPH) insulin to insulin glargine to
improve glycemic control throughout the day. If this is done: -
ANSWER-The initial dose of glargine is reduced by 20% to avoid hypoglycemia
Prior to prescribing metformin, you as the provider should - ANSWER-Draw a serum creatinine to assess renal function
Type 2 diabetes is a complex disorder involving - ANSWER-a suboptimal response of insulin sensitive tissues in the liver
Routine screening of asymptomatic adults for diabetes is
appropriate for: - ANSWER-Native americans
African americans Hispanics
The action of "gliptins" is different from other antidiabetic
agents because they: - ANSWER-act on the incretin system to
indirectly increase insulin production
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GLP-1 agonists - ANSWER-Directly bind to a receptor in the pancreatic beta cell
Avoid concurrent administration of exenatide with which of the following drugs? - ANSWER-Digoxin, warfarin, lovastatin
Administration of exenatide is by subcutaneous injection: -
ANSWER-60 minutes prior to the morning and evening meal
Potentially fatal granulocytopenia has been associated with treatment of hyperthyroidism with propylthiouracil (PTU).
Patients should be taught to report: - ANSWER-Fever and sore
throat
Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for - ANSWER-tachycardia, angina
What should you teach your patients when they are prescribed levothyroxine? - ANSWER-Take medication on an empty stomach, preferably 30 minutes before breakfast
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When methimazole is started for hyperthyroidism it may take ________ to see a total reversal of hyperthyroid symptoms. - ANSWER-6-12 months
In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for - ANSWER-beta blocker
When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in - ANSWER-4 weeks
In hyperthyroid states, what organ system other than CV must be evaluated to establish potential adverse issues - ANSWER-they eyes
Treatment of a patient with hypothyroidism and cardiovascular
disease consists of: - ANSWER-levothyroxine
A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with
- ANSWER-Propylthiouracil (PTU)
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