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NR 565 FINAL EXAM YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPORT VERIFIED FOR GURANTEED PASS / LATEST UPDATE.$24.49
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NR 565 FINAL EXAM YEAR 2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPORT VERIFIED FOR GURANTEED PASS / LATEST UPDATE.
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Course
NR 565
Institution
NR 565
NR 565 FINAL EXAM YEAR 2024/2025 / ACCURATE
CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY
GUIDE / EXPORT VERIFIED FOR GURANTEED PASS /
LATEST UPDATE.
NR 565 FINAL EXAM YEAR 2024/2025 / ACCURATE
CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY
GUIDE / EXPORT VERIFIED FOR GURANTEED PASS /
LATEST UPDATE.
,*To maintain adequate levothyroxine levels, patients taking these drugs may need to increase
their levothyroxine dosage.
*Digoxin and Insulin may have more requirements when taking levothyroxine
Which laboratory tests should be completed before prescribing methimazole? - CORRECT
ANSWER free triiodothyronine (T3)
free thyroxine (T4)
LFTs
thyroid-stimulating hormone (TSH)
CBC
Which agent is the preferred treatment option for thyroid storm? - CORRECT ANSWER PTU
(propylthiouracil)
Which agent is the first-line treatment for hyperthyroidism or Grave's disease? - CORRECT
ANSWER methimazole
How to confirm diabetes diagnosis - CORRECT ANSWER Fasting plasma glucose ≥126
mg/dLa
Or
Random plasma glucose ≥ 200 mg/dL plus symptoms of diabetesb
Or
Oral glucose tolerance test (OGTT): 2-h plasma glucose ≥200 mg/dLc
or
Hemoglobin A1c 6.5% or higher (STANDARD TEST)
What is the general glycemic goal for A1C? - CORRECT ANSWER <7.0%
how often should A1c be checked? - CORRECT ANSWER Every 3-6 months
,*every 3 months until A1c is <7.0%
A1C goal for older adults? - CORRECT ANSWER <7.5% for adults with few health issues
<8.0%-8.5 for adults with Comorbidities or cognitive issues
What drug is preferred for diabetes treatment? - CORRECT ANSWER Metformin
At what A1c level should insulin be considered? - CORRECT ANSWER >10%
In patients with type 2 diabetes who need greater glucose lowering than can be obtained with
oral agents, what is the preferred treatment? - CORRECT ANSWER GLP-1 receptor agonists are
preferred to insulin when possible
Action of Insulin - CORRECT ANSWER Insulin acts in two ways to promote anabolic effects.
1. it stimulates cellular transport (uptake) of glucose, amino acids, nucleotides, and potassium.
2. insulin promotes synthesis of complex organic molecules.
Pioglitazone contraindications - CORRECT ANSWER Heart failure and Bladder cancer
Which diabetes medication comes with a concerns for hypoglycemia? - CORRECT ANSWER
Insulin
*Considerations
-reduced intake of food, vomiting and diarrhea (which reduce absorption of nutrients)
-excessive consumption of alcohol (which promotes hypoglycemia)
-unusually intense exercise (which promotes cellular glucose uptake and metabolism)
-childbirth (which reduces insulin requirements).
MOA Thiazolidinediones (TZD) - CORRECT ANSWER Decrease insulin resistance and
thereby increase glucose uptake by muscle and adipose tissue and decrease glucose production
by the liver
Rosiglitzaone(Avandia)
Pioglitazone (Actos)
MOA Dipeptidyl Peptidase-4 (DPP-4) Inhibitors - CORRECT ANSWER Enhance the activity of
incretins (by inhibiting their breakdown by DPP-4) and thereby increase insulin release, reduce
glucagon release, and decrease hepatic glucose production
MOA Sulfonylureas - CORRECT ANSWER Promote insulin secretion by the pancreas; may
also increase tissue response to insulin
Glyburide
Glipizide
Glimepiride
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