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Diabetes Pharmacology Quiz

Diabetes Mellitus Pharmacology & Nursing Management Nclex Quiz

Diabetes Mellitus Pharmacology & Nursing Management Nclex Quiz

Diabetes Mellitus Pharmacology & Nursing Management NCLEX Quiz This NCLEX diabetes mellitus quizwill test your knowledge on the medications and nursing management of diabetes.. Diabetes mellitus is where a patient does not have sufficient amounts of insulin to use the glucose that enters the blood stream. Therefore, the patient experiences hyperglycemia which is damaging to the body. Typical, treatments for a diabetic are diet, exercise, and medication therapy. Medications include oral and subcutaneous injections of insulin. The NCLEX and nursing school lecture exams love to test students on their ability to differentiate between causes, signs and symptoms, patient education, and various treatments for diabetes. Onset, peak, and duration times of insulin Lecture on Diabetes Pharmacology & Nursing Management Diabetes Mellitus Pharmacology & Nursing Management NCLEX Quiz This NCLEX quiz will test your knowledge on the pharmacological and nursing management of the diabetic patient. 1. Which of the following patient statements about the diabetic diet regime is correct?* A. "I'll try to consume about 20% carbs and 40% fats on a daily basis." B. "Foods that are high in mono and poly fats are avocados, olives, and nuts." C. "Meats increase the glycemic index; therefore, I should only consume 5% of them on a daily basis." D. "I should completely avoid starchy vegetables like potatoes and corn." 2. A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is:* 3. Which of the following statements are INCORRECT about exercise management for the diabetic patient?* A. "I will check my blood glucose prior to exercise. If it is less than 200 I will eat a complex carb snack prior to exercising." B. "I plan on exercising fo Continue reading >>

Diabetic Medication

Diabetic Medication

1. 2. What Oral Antidiabetic stimulates beta cells to secrete more insulin and increase receptor sites in the tissue? 3. 4. 5. What Oral Diabetic Medication has the following side effects:Diarrhea, Stomach upset, and Lactic acidosis? 6. 7. Which of the following medications are a first generation Sulfonylureas? There is more than one!!! 8. Which of the following medications are a first generation Sulfonylureas? There is more than one!!! 9. 10. 11. What Combination of drugs are used to make Gucovance? Also include classification of drugs? 12. What Combination of drugs are used to make Gucovance? Also include classification of drugs? 13. 14. 15. What decreases the rate of liver glucose production, augments glucose uptake by tissues and lowers lipids? 16. What decreases the rate of liver glucose production, augments glucose uptake by tissues and lowers lipids? 17. What following Oral Anti-diabetics list the side effects of hypoglycemia? (Classification listed)There could be more than one. 18. What following Oral Anti-diabetics list the side effects of hypoglycemia? (Classification listed)There could be more than one. 19. 20. 21. 22. 23. 24. 25. Alpha-Glucosidase should ONLY BE GIVEN WITH MEALS, choose the generic names of the drugs that belong to this category. 26. Alpha-Glucosidase should ONLY BE GIVEN WITH MEALS, choose the generic names of the drugs that belong to this category. 27. 28. 29. 30. 31. 32. 33. What should not be used if liver or kidney dysfunction is present, works for 10 to 24 hours, and has a HIGHER hypoglycemic potency? 34. Continue reading >>

Pathophysiology Pharmacology 2 - Pat Heyman

Pathophysiology Pharmacology 2 - Pat Heyman

Phenergan adverse effects. Which is more important, something that almost everyone gets that can cause accidents, or something very rare that although permanent, is just a nuisance? Clindamycin induced diarrhea? What could be the cause of that? What would be used to treat it? Diarrhea, when to treat orally vs aggressive therapy Diagnostic test for Mg containing laxatives Conservative vs aggressive therapy for diverticulitis I did not know that THC causes multiple personality d/o Bone scan. We went over this one for Test 2. Its a nuclear medicine test that detects bone metabolism. Hot spots are indicative of cancer. Cold spots of necrosis. Myeloma produces large amounts of antibodies, which are protein. So what lab value would high? Calcium Carbonate adverse effects: constipation Why are patients with no ulcers or GERD given H2 blockers or PPIs in the hospital? Someone calls in about diarrhea, and you tell them what to do without asking about what the stool looks like? Rheumatoid diseases like Lupus and rheumatoid arthritis There are a few questions on drugs used at birth. You should be able to figure most of them out just from your general pharmacology knowledge, so dont be intimidated. The one exception is drugs used for Rh incompatibility. You may want to read the section on muscle relaxants (its only 2 pages and we didnt really cover it in PP1). One more thing to keep in mind is that these types of tests often used older drugs, whereas in class we use more commonly used drugs. It shouldnt be a problem as long as you remember what class the drugs belong to. Continue reading >>

Diabetes Mellitus | Pharmacotherapy: A Pathophysiologic Approach, 10e | Accesspharmacy | Mcgraw-hill Medical

Diabetes Mellitus | Pharmacotherapy: A Pathophysiologic Approach, 10e | Accesspharmacy | Mcgraw-hill Medical

Hypoglycemia episodes, symptoms, frequency, and suspected cause(s) History of diabetic ketoacidosis frequency, severity, and suspected cause Patient history (past medical, family, socialdietary habits, weight history, sleep behaviors, physical activity habits) Current medications (including complementary and alternative therapies) and medication taking behaviors (e.g., adherence, injection technique) Past diabetes treatments, response to therapy, reason for discontinuation Diabetes and nutritional education (currently enrolled and completed) Self-monitorng of blood glucose (SMBG) results and self-management behaviors Social and cultural Issues: preferences, values, and beliefs; health literacy Physical exam: height, weight, BMI, blood pressure, heart rate, comprehensive foot exam Labs (e.g. Glucose, A1C, Scr, BUN, eGFR, fasting lipid panel, urinary albumin/Cr ratio, serum electrolytes) Diagnosis and classification (See Tables 74-1 and 74-3 ) Microvascular and macrovascular complications and potential comorbid conditions Achievement of A1C and glucose goals (see Table 74-6 ) Appropriateness, effectiveness, safety/tolerability, treatment burden, cost and adherence of current antihyperglycemic regimen and additional treatment options being considered Achievement of weight, lifestyle or other behavioral goals Achievement of goals for comorbidities (e.g., blood pressure, lipids, neuropathic pain) Screen for depression, anxiety, disordered eating Screen for psychosocial problems and barriers to diabetes self-management Set appropriate A1C and glucose goals based on age, comorbidities, and other factors (See Table 74-6 ) Tailored lifestyle modifications (e.g., diet, exercise, weight management) Drug therapy regimen including specific antihyperglycemic agent(s), dose, route, f Continue reading >>

Reference

Reference

This purpose of this talk is to overview the 2017 American Diabetes Association Standards of Medical Care in Diabetes. These Standards comprise all of the current and key clinical practice recommendations of the American Diabetes Association. [SLIDE] 2 Reference American Diabetes Association. Standards of medical care in diabetes—2014. Diabetes Care 2014;37(suppl 1):S1 A few notes on the Standards of Care: The Association funds development of the Standards of Care and all Association position statements out of its general revenues and does not use industry support for these purposes [CLICK] The slides are organized to correspond with sections within the 2017 Standards of Care. As we go through I’ll make note of where we are within the document. [CLICK] Though not every section in the document is represented, these slides do incorporate the most salient points from the Position Statement As with all Association position statements, the Standards of Care are reviewed and approved by the Association’s Board of Directors, which includes health care professionals, scientists, and lay people. [SLIDE] 3 These Standards of Care are revised annually by the ADA’s multidisciplinary Professional Practice Committee (PPC) [CLICK] For the 2017 revision, PPC members systematically searched Medline for human studies related to each subsection and published since 1 January 2016. [CLICK] Recommendations were revised based on new evidence or, in some cases, to clarify the prior recommendations or match the strength of the word to the strength of the evidence [CLICK] A table linking the changes in the recommendations to new evidence can be reviewed at professional.diabetes.org/SOC (Standards of Care) [CLICK] The Association and the Professional Practice Committee Continue reading >>

10 Diabetes Nclex Questions

10 Diabetes Nclex Questions

Take the Pop Quiz and See How Good You Are at Diabetes Questions 1) The nurse is educating a client that is newly diagnosed with diabetes mellitus, which of the following should the nurse emphasize? Select all that apply. 2) During discharge of a client with diabetes, the nurse recognizes a need for further education when the client makes which of the following statements? "I should cut my toe nails with rounded edges." 3) A client with type II diabetes is getting educated on their medications because the client was unsure why they took any of their medications so they don't take them all everyday. Which medication should the nurse educate this client on to help control their blood sugar levels? 4) It is halloween and a school nurse knows she needs to be ready for children who have diabetes and eat all the candy with which of the following medication? 5) A client with type II diabetes is getting educated on their medications because the client was unsure why they took any of their medications so they don't take them all everyday. Which medication should the nurse educate this client on to help control their blood sugar levels? 6) A nurse is counseling a patient who has hypertension and type 2 diabetes. During the initial assessment, the nurse notes that the patient has a blood pressure of 148/92 mmHg, a BMI of 28, and a blood glucose level of 161 mg/dL. Which of the following information about lifestyle changes would be most beneficial to help control this patients state of health? Describe how the patient can limit her fat intake in the diet to less than 45% of total daily calories Help the patient understand how to lose weight to get her BMI to less than 25 Tell the patient that she first must control her hypertension, and then her glucose levels are more likely to n Continue reading >>

Quiz 2 Pharmacology Diabetes Study Sets And Flashcards | Quizlet

Quiz 2 Pharmacology Diabetes Study Sets And Flashcards | Quizlet

lack of circulating insulin (insulin deficiency) decreased response of tissues to insulin (insulin resistance) insulin... *oral anti-hyperglycemic agents have NO effect* diet & exercise, oral anti-hyperglycemic agents, *parenter lack of circulating insulin (insulin deficiency) decreased response of tissues to insulin (insulin resistance) **... 45 year old patient with an A1C of 5 **... Pt comes in with sx of Charcot's joi LIFESTYLE CHANGES FIRST... HgA1C of 5.9% is still PRE-DIABETIC [ Insulin (or some other diabetic medication)... Charcot's joint - - Glyburide (Diabeta, Micronase, Glynase-micronized)... - Glipizi weight gain!... thus, not the best drug for those in which weigh **... 45 year old patient with an A1C of 5 LIFESTYLE CHANGES FIRST... HgA1C of 5.9% is still PRE-DIABETIC [ **... Pt comes in with sx of Charcot's joi Insulin (or some other diabetic medication)... Charcot's joint - Early Onset ... Loss of Pancreatic B cells... *Absolute dependance o Usually Adults ... Decrease response to insulin... *Not ketoacidos Lispro: Early onset, between meals, short duration... Regular: ta Increased by: Glucose, Sulfonylureas, Muscarinic agonist and B Early Onset ... Loss of Pancreatic B cells... *Absolute dependance o Usually Adults ... Decrease response to insulin... *Not ketoacidos Pre-operative phone call. An RN calls and obtains patient heal Pre Anesthesia Consult, here brought any issues that could aff 1. Registration Desk (Checking in the morning of surgery. Here Pre-operative phone call. An RN calls and obtains patient heal Pre Anesthesia Consult, here brought any issues that could aff Insulin... -Opens glucose receptors on the cell and allows gluc Glucose... -Stored in liver (by insulin), so when there is no int enhances the storage of fat into the tissues (why Continue reading >>

10 Step To Succeed | Pass The Cde

10 Step To Succeed | Pass The Cde

Coach Beverly has custom designed your road map to CDE success! By creating the 10 Steps to Succeed, wepresent you with the tools and confidence you need to pass the CDE Exam! Download our 10 Steps to Succeed Brochure To apply for theCDEExam, you must meet requirements set by the NCBDE or National Certification Board for Diabetes Education.Youneed to have your professional license for at least 2 years as an RN, RD, PT, PharmD, PA, MD (and others) plus accumulate 1000 hours of diabetes self-management teaching experience. There is also a unique qualifications pathway for other professions. For complete eligibility requirements, please refer to the: National Certification Board for Diabetes Education (NCBDE) Certification Examination Handbook Download the Handbook to ensure you qualify! You can also contact the NCBDE directly with questions on eligibility at (847)228-9795. FREE Webinar Preparing for the CDEExam Are you wondering where to start? Join ourFREE livePreparing for CDEExam webinar or view it On Demand now. 70-minute video presentation to help you learn how to focus your time and prepare to take the CDE Exam Test taking tips and strategies to achieve your CDE goal Plenty of sample test questions and test taking tips from Coach Beverly To determine how to best spend your study time, we encourage you to first assess your Diabetes Knowledge. By using the tools below, you can determine what your best course of action is for CDE success. We are here to help you create the perfect study plan! To assess your knowledge, start by downloading and reviewing the CDEExam Content Outline . We suggest rating your knowledge in each of the key areas on a scale of 1-5. One means you are not very familiar with the content andfive means you are a pro. Areas with 1-3 rating deserve Continue reading >>

Quiz Sheet

Quiz Sheet

Select the single best answer to the numbered question. A 50 year old female with a ten year history of type II diabetes presents for regularly-scheduled follow up. She has no complaints, and just visited her ophthalmologist last week. Current medications include glyburide, metformin, and simvastatin. On physical exam, vital signs are virtually unchanged from previous visits, with temperature 37.1 C (99 F), HR 80, BP 140/83, RR 15, and O2 Sat 98% on room air. Neurological examination reveals diminished sensation to light touch and pinprick in a stocking distribution on the lower extremities bilaterally. Remainder of physical exam is benign. Laboratory evaluation reveals:Na+ 136,K+ 3.9Cl- 104,HCO3- 25,BUN 15,Cr 1.0,Glucose 150; hemoglobin A1c: 7.1%;Urinalysis: negative for ketones, glucose, bilirubin, leukocyte esterase, or blood; moderate protein; Lipid profile: Total cholesterol 146, HDL 46, LDL 100.At this time, which of the following would be the most appropriate intervention? Select the single best answer to the numbered question. Mr. M is a 92 y.o. male with diagnosis of hypertension and Type II of diabetes Mellitus who presents to your skilled nursing facility as a new admission. He was in the hospital for stroke. He is very fraile and requires assistance with all ADLs. He takes Lantus insulin 15 units daily. His hypertension is well controlled with HCTZ 25 mg daily. On examination, he has an ulcer on both heels, measuring 2.6 X 3.1 cm (left) and 4.3 X 2.2 cm (right). Each ulcer is covered with firm, dry eschar, well-adhered to wound margins, no drainage or periwound erythema. You review labs and find his blood glucose to be averaging 240-275 every morning and his A1C is 9.9. Albumin 2.3. Of the orders listed below, which is not an appropriate plan to address thi Continue reading >>

Diabetes Practice Questions

Diabetes Practice Questions

1. The risk factors for type 1 diabetes include all of the following except: a. Diet b. Genetic c. Autoimmune d. Environmental 2. Type 2 diabetes accounts for approximately what percentage of all cases of diabetes in adults? a. 55%-60% b. 35%-40% c. 90-95% d. 25-30% 3. Risk factors for type 2 diabetes include all of the following except: a. Advanced age b. Obesity c. Smoking d. Physical inactivity 4. What percentage of women with gestational diabetes is diagnosed with type 2 diabetes following pregnancy? a. 25%-30% b. 5%-10% c. <5% d. 20%-25% 5. Untreated diabetes may result in all of the following except: a. Blindness b. Cardiovascular disease c. Kidney disease d. Tinnitus 6. Prediabetes is associated with all of the following except: a. Increased risk of developing type 2 diabetes b. Impaired glucose tolerance c. Increased risk of heart disease and stroke d. Increased risk of developing type 1 diabetes 7. Diabetics are at increased risk of heart disease if they also: a. Smoke b. Have high HDL cholesterol levels c. Take aspirin d. Consume a high-fiber diet 8. Blood sugar is well controlled when Hemoglobin A1C is: a. Below 7% b. Between 12%-15% c. Less than 180 mg/dL d. Between 90 and 130 mg/dL 9. Excessive thirst and volume of very dilute urine may be symptoms of: a. Urinary tract infection b. Diabetes insipidus c. Viral gastroenteritis d. Hypoglycemia 10. Among female children and adolescents, the first sign of type 1 diabetes may be: a. Rapid weight gain b. Constipation c. Genital candidiasis d. Insomnia 11. Untreated hyperglycemia may lead to all of the following complications except: a. Hyperosmolar syndrome b Vitiligo c. Diabetic ketoacidosis d. Coma 12. Hyperinsulinemia may be caused by all of the following except: a. An insulinoma b. Nesidioblastosis c. Insulin Continue reading >>

Diabetes Drugs - Endocrine - Medbullets Step 1

Diabetes Drugs - Endocrine - Medbullets Step 1

Metformin is absolutely contraindicated in patients with renal failure due to the risk of lactic acidosis. An elevated serum creatinine suggests a decrease in GFR and the presence of renal failure. Metformin is a drug in the biguanide class used to treat diabetes mellitus type II. Metformin treats hyperglycemia by inhibiting gluconeogenesis. Metformin carries no risk of hypoglycemia, but is known to occasionally cause lactic acidosis in patients with renal failure, liver dysfunction, CHF, alcoholism, and sepsis. Vecchio et al. reviews metformin-induced lactic acidosis. They report that metformin is overall a safe drug when correctly used but is associated with lactic acidosis in rare cases. The most common condition in which this condition occurs is with renal insufficiency. Recent evidence has called into question the significance of the risk of lactic acidosis while using metformin. According to an April 2012 Cochrane review by Salpeter et al., there is no evidence from comparative trials or from observational cohort studies that metformin is associated with an increased risk of lactic acidosis when compared to other anti-hyperglycemic treatments. Illustration A depicts the actions of metformin on the liver, adipose tissue, muscle and pancreas. Answers 1-4: Hyperkalemia, hypernatremia, metabolic alkalosis, and hyperglycemia do not affect the physiology of metformin and are not a contraindication to its use. Continue reading >>

Heart Disease Quiz

Heart Disease Quiz

Chances are you already know that having diabetes automatically puts you at risk for developing heart disease. But what does that really mean? Does it mean you’re more likely to have high blood pressure or a stroke, or does diabetes also increase your risk for developing other heart-related conditions? Take this quiz to see how much you really know about diabetes and heart disease. Q 1. What percentage of people who have diabetes die of heart disease or stroke? A. 20% B. 34% C. 65% D. 78% 2. Which country is considered the “Diabetes Capital of the World”? A. China B. The United States C. Mexico D. India 3. Which of the following is NOT a potential side effect of peripheral artery disease (PAD)? A. Numbness B. Pain during or when not exercising C. Amputation of a limb or part of a limb D. Gangrene E. Nail fungus 4. Not only are people who have Type 1 diabetes mellitus at risk for coronary artery disease, but they also have an increased risk of developing which of the following: 1. Endocarditis 2. Heart attack 3. Periodontal disease A. 1 only B. 1 and 2 C. 3 only D. 2 and 3 E. All of the above 5. According to recently updated guidelines for diabetes set by the American Diabetes Association (ADA), what is the new goal for diastolic blood pressure (the bottom number that appears on your blood pressure reading)? A. 60 mm Hg B. 70 mm Hg C. 80 mm Hg D. 90 mm Hg E. 100 mm Hg 6. True or False: All people who have diabetes should also take a medication belonging to a class of drugs called statins. A 1. C. 65%. According to the National Institutes of Health (NIH), 65% of all people with diabetes will die of either a stroke or heart disease, and the World Health Organization (WHO) reports this number at about 50% across the globe. Also, adults who have diabetes are up to four Continue reading >>

Nursing Quizzes

Nursing Quizzes

Here are 165 free nursing quizzes with 12,360 questions that we have updated for our Quiz Center. These HTML5 quizzes now work on most mobile devices and all major browsers. (See Technology Notes below). Click on the Quiz Name to open it. Read the instructions and then proceed to do the quiz. Immediate feedback is provided for each question as well as a review and summary of how well you did. You have the option to Print out the quiz results for your records. For quizzes that have a pool of items, different questions are selected each time, and the questions and answers are also randomized. Names: You have the option to enter your name and course/instructor/other information at the beginning of each quiz. This data is included in the quiz Print Results and Certificate should you want these as a confirmation for an assignment, continuing education credits or continuing competence program. Otherwise, enter Guest or any other name. E-mail results: You can now enter an optional e-mail address to which the quiz results can be sent (PASS results only). This can be your own e-mail address, or that of your instructor/teacher or supervisor/manager, or anyone else to whom you wish to send your passed (80%+)quiz results. NEW Certificates: When you pass a quiz, clicking on the Finish button will take you to a PDF Certificate page. You can Print or Save the Certificate or simply close the window to exit. Remember to enter your real name at the beginning of the quiz if you want it printed on the Certificate. (Certificates do not work using the iSpring mobile apps; therefore you should select the "View in browser" option if you are doing the quizzes on a mobile device and want a Certificate). Records: To help you keep track of your quizzes and results, we have a form that you can dow Continue reading >>

Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)

Diabetes Mellitus Nclex Practice Quiz #1 (40 Questions)

This exam is all about Diabetes Mellitus! The purpose of this exam is to provide nurses and future nurses an overview of the disease, including its management, impact, and complications. Accomplish this 40-item NCLEX style examination and guarantee a good performance on your NCLEX. Though no one can go back and make a brand new start, anyone can start from now and make a brand new ending. ~ Carl Bard Topics Included topics in this practice quiz are: Guidelines Follow the guidelines below to make the most out of this exam: Read each question carefully and choose the best answer. You are given one minute per question. Spend your time wisely! Answers and rationales are given below. Be sure to read them. If you need more clarifications, please direct them to the comments section. Questions See Also You may also like these quizzes: 3,500+ NCLEX-RN Practice Questions for Free – Tons of practice questions for various topics in the NCLEX-RN! Study Guides Cardiovascular System Respiratory System Nervous System Digestive and Gastrointestinal System Endocrine System Urinary System Homeostasis: Fluids and Electrolytes Cancer and Oncology Nursing Burns and Burn Injury Management Emergency Nursing Miscellaneous Recommended Books and Resources Selected NCLEX-RN review books: MUST HAVE: Saunders Comprehensive Review for the NCLEX-RN® Examination, 7th Edition – A must have book if you're taking the NCLEX-RN. You need to have this. Saunders Strategies for Success for the NCLEX – An invaluable guide that will help you master what matters most in passing nursing school and the NCLEX. Mosby's Comprehensive Review of Nursing for NCLEX-RN – This book has helped nurses pass the NCLEX exam for over 60 years. Practice with over 600 alternative item question formats. Prioritization, Dele Continue reading >>

Diabetes Pharmacology Quiz - By Thespleenman

Diabetes Pharmacology Quiz - By Thespleenman

What is the drug of choice for severe hypoglycemia This is secreted by -cells of pancreas along with insulin to decrease postprandial glucose by slowing gastric emptying, suppressing glucagon secretion and increasing satiety These are released by the GI tract in order to decrease glucose by stimulating insulin secretion, reducing glucagon production, slowing gastric emptying and increasing satiety These are drugs that stimulate the pancreas to make more insulin These are drugs that sensitize the body to insulin and/or control hepatic glucose production as well as slow the absorption of starches This group of hypoglycemic drugs has an active metabolite (DiaBeta) that accumulate in renal failure and can lead to hypoglycemia and weight gain This group of hypoglycemic drugs should be avoided in patients with sulfa drug allergies This group of hypoglycemic drugs are similar in action and side effects to the sulfonylureas, but do not contain a sulfa compound and are useful for high postprandial glucose This drug is the preferential sulfonylurea in elderly patients This biguanide antihyperglycemic primarily decreases glucose production, is associated with weight loss and causes little to no hypoglycemia This biguanide antihyperglycemic can cause sometimes fatal lactic acidosis in patients with CHF, hepatic and renal failure, and alcoholism This biguanide antihyperglycemic should not be used in patients > 80 years old and if CrCl < 60 ml/min This biguanide antihyperglycemic can also be useful for patients with Polycystic Ovary Syndrome These antihyperglycemic drugs are selective agonists for PPAR, which regulates transcription of insulin responsive genes and also promotes muscle uptake of glucose This group of antihyperglycemic drugs can cause weight gain, increase of LDL, and Continue reading >>

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