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Diabetes Final

QuestionAnswer
1. Which of the following statements about AB’s treatment needs is true, based on the information provided? AB is a candidate for statin therapy. (Everyone Is a candidate, use a high intensity, she is a active smoker, obesity, hyperlipidemia is uncontrolled)
2. Which of the following options represents recommended initial therapy for AB, based on current treatment algorithms? An SGLT2i or GLP-1RA with proven CVD benefit plus lifestyle modification. (She is a high risk patient)
AB agrees to have a foot exam and monofilament test. What is the minimum number of sites that should be tested on each of AB’s feet? Four. - On each foot
Which of the following statements about AB’s blood glucose values is true? Her post-dinner blood glucose values are consistently above target
4.Which of the following interventions is most likely to address the SMBG findings in the previous question? Decrease the amount of carbohydrate consumed at dinner
After 1 year of dapagliflozin therapy, AB’s A1C level is 8.3%, and her weight has increased to 185 lb. Which of the following options for treatment intensification is likely to provide the greatest overall benefit for AB? Add a GLP-1RA
Which of the following communication techniques is best to influence AB’s behavior? Ask AB why injecting insulin concerns her
her bedtime levels are out of range. Which of the following interventions is warranted? Add 4 units of a rapid-acting insulin at dinner
AB administers insulin detemir using a vial and syringe. When you check her injection technique, you should verify that she inserts the needle at a _____ angle to the skin surface 90°
Which of the following strategies is recommended when initiating insulin in a patient with type 2 diabetes? Initiate with basal insulin once daily
Calculate a correction factor for rapid insulin for a patient with type 1 diabetes whose total daily dose of insulin is 60 units 30 rule of 1800 for fast acting, so 1800/60 (tdd) = 30
Based on her weight of 141 pounds and a total daily dose of 0.6 units/kg/day calculation, what is this patient’s approximate insulin-to-carbohydrate ratio? 1:12 (64 kg x 0.6 = 38 tdd so use rule of 500 so 500/38 tdd = 12 so every 12 grams of carbohydrate she needs 1 unit of insulin, and 24 grams of carbohydrate, she would need 2 units of insulin)
A patient with type 2 diabetes expresses a great fear of hypoglycemia. Which of the following medications is best avoided in this patient? Glimepiride
A person using the Idaho Plate Method approach to meal planning would strive to create a meal with which of the following compositions? One half vegetables, one quarter protein, one quarter starch
Which of the following foods is considered to be a carbohydrate-containing food? Milk has lactose and yogurt
What is the approximate carbohydrate count for this meal? oatmeal, 8 oz skim milk, and 1 cup cubed cantaloupe. The oatmeal is prepared by cooking ¾ cup oats in 1½ cups water 67 g (1 serving is 15 grams of carbohydrate, ½ cup of oat is 15 grams, milk is 12 grams)
14. How will use of a blood pressure cuff that is too small affect the blood pressure measurement? It will give a false high measurement.( Bp will go up)
Which of the following statements about obtaining a fingerstick blood sample is true? Before lancing the finger, the patient should let the arm hang down at the side of the body for 30 seconds
16. Which of the following is the likely outcome if the SMBG test strip is not inserted fully into the meter? A false low reading
16.Which of the following statements about the certified diabetes care and education specialist (CDCES) credential is true? The Pharmacist & Patient-Centered Diabetes Care certificate program can be used to fulfill the diabetes continuing education requirements for the CDCES
17.Which of the following about diabetes self-management education/training (DSME/T) programs is true? To be eligible for accreditation, DSME/T programs must comply with the National Standards for Diabetes Self-Management Education
Created by: adibarra
 

 



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