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WGU D116 ADVANCED PHARMACOLOGY OBJECTIVE ASESEMENT
EXAM AND STUDY GUIDE 500+ QUESTIONS WITH CORRECT DETAILED
ANSWERS LATEST UPDATE THIS YEAR - JUST RELEASED
WGU D116 ADVANCED PHARMACOLOGY OBJECTIVE ASESEMENT EXAM
A patient who has traveler's diarrhea asks the provider about using loperamide to stop the symptoms.What should the provider tell the patient about this drug?
- "Loperamide is used for moderate to severe symptoms only."
- "Loperamide is only effective to treat certain infectious agents."
- "Loperamide use may prolong symptoms by slowing peristalsis."
- "Loperamide is useful as a prophylaxis to prevent symptoms."
- Loperamide use may prolong symptoms by slowing peristalsis
Correct! Loperamide is a nonspecific antidiarrheal that slows peristalsis, which may delay transit of the causative organism and prolong the infection. 1 / 4
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2 Insulin glargine is prescribed for a hospitalized patient who has diabetes.When should this drug be administered?
- Approximately 15 to 30 minutes before each meal
- After meals and at bedtime
3. In the morning and at 4:00 PM
- Once daily at bedtime
- Once daily at bedtime
Correct! Insulin glargine is indicated for once-daily subcutaneous administration to treat adults and children with type 1 diabetes and adults with type 2 diabetes. According to the package labeling, the once-daily injection should be given at bedtime.A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.Why should this be a concern?
- Using the two agents together increases the risk of ketoacidosis.
- Propranolol increases insulin requirements because of receptor blocking.
- The beta-blockers can cause insulin resistance.
- The beta-blockers can mask the symptoms of hypoglycemia. 2 / 4
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- Beta-blockers can mask the symptoms of hypoglycemia
Correct! Beta-blockers can delay awareness of and response to hypoglycemia by masking signs associated with stimulation of the sympathetic nervous system (e.g., tachycardia, palpitations) that hypoglycemia normally causes. Furthermore, beta blockade impairs glycogenolysis, which is one means by which the body can counteract a fall in blood glucose; beta-blockers, therefore, can worsen insulin-induced hypoglycemia.The provider assesses a newly diagnosed patient for short-term complications of diabetes.What should this assessment include?
- Cranial nerve testing for peripheral neuropathy
- Auscultation of the carotids for bruits associated with atherosclerosis
- Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis
- Pedal pulse palpation for arterial insufficiency
- Eval of hyperglycemia, hypoglycemia, and ketoacidosis are all short-term complications
Correct! High blood sugar, low blood sugar, and ketoacidosis are short-term complications of diabetes.Which agent works to reduce hyperglycemia in people with T1DM by increasing endogenous
GLP-1?
- Empagliflozin 3 / 4
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- Saxagliptin
- Exenatide
- Dulaglutide
Saxagliptin
Correct! DDP4 inhibitors such as saxagliptin work by increasing endogenous GLP-1.What is dulaglutide?A GLP-1 receptor agonist What is empagliflozin?SGLT2 inhibitor What is exenatide?GLP-1 receptor agonist A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL.Which formulation of insulin should be prepared to be administered?
1. NPH
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