APha Diabetes Final 20 Questions with Verified Answers,100% CORRECT

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APha Diabetes Final 20 Questions with Verified Answers Which of the following statements about TD's treatment needs is true, based on the information provided? TD is meeting the A1C goals recommen... ded by the American Diabetes Association and the American Association of Clinical Endocrinologists. TD is receiving appropriate treatment for her hypertension. TD is a candidate for statin therapy. TD has an LDL treatment goal of <180 mg/dL. - CORRECT ANSWER TD is a candidate for statin therapy. Which of the following options represents recommended initial therapy for TD, based on current treatment algorithms? Lifestyle modification alone. Metformin plus lifestyle modification. A sulfonylurea plus lifestyle modification. Basal insulin. - CORRECT ANSWER Metformin plus lifestyle modification. TD agrees to have a foot exam and monofilament test. What is the minimum number of sites that should be tested on each of TD's feet? One. Two Four. Eight. - CORRECT ANSWER Four. TD begins treatment with metformin and the dosage is titrated to 850 mg twice daily. She also meets with a dietitian and agrees to perform self-monitoring of blood glucose (SMBG) to obtain a three-point profile. TD obtains the following results: Fasting Before Dinner After Dinner Tuesday 122 100 198 Thursday 108 110 212 Saturday 109 122 240 Which of the following statements about TD's blood glucose values is true? Her fasting blood glucose values are consistently above target. Her pre-dinner bl - CORRECT ANSWER Her post-dinner blood glucose values are consistently above target. Which of the following interventions is most likely to address the SMBG findings in question 4? Decrease the amount of carbohydrate consumed at dinner Increase the metformin dosage to 1,000 mg twice daily. Initiate basal insulin therapy. No intervention is needed because TD's blood glucose values are within the target range. - CORRECT ANSWER Decrease the amount of carbohydrate consumed at dinner After 1 year of metformin therapy, TD'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 TD? Titrate the metformin dosage to the maximum approved daily dose. Add a GLP-1 receptor agonist. Add a sulfonylurea. Add a thiazolidinedione. - CORRECT ANSWER Add a GLP-1 receptor agonist. Three years later, TD's medication regimen consists of lisinopril 20 mg daily, metformin 1,000 mg twice daily, and insulin detemir 6 units at bedtime. Her A1C level is 7.6%. SMBG results show that TD's fasting, pre-lunch, and pre-dinner blood glucose levels are in the target range but her bedtime levels are out of range. Which of the following interventions is warranted? Increase the insulin detemir dose to 8 units at bedtime. Add 4 units of a rapid-acting insulin at lunch. Add 4 units of a rapi - CORRECT ANSWER Add 4 units of a rapid-acting insulin at dinner. TD 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. 25° 45° 70° 90° - CORRECT ANSWER 90° Which of the following strategies is recommended when initiating insulin in a patient with type 2 diabetes? Discontinue all non-insulin medications. Initiate with basal insulin before breakfast and at bedtime. Initiate with basal insulin once daily. Initiate with bolus insulin before each meal. - CORRECT ANSWER 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 50 units. 32 36 50 65 - CORRECT ANSWER 36 A patient with newly diagnosed type 1 diabetes needs to determine approximately how many units of rapid acting insulin will cover her carbohydrates. Based on her weight of 151 pounds and a total daily dose of 0.6 units/kg/day calculation, what is this patient's approximate insulin-to-carbohydrate ratio? 1:5 1:8 1:12 1:16 - CORRECT ANSWER 1:12 A patient with type 2 diabetes expresses a great fear of hypoglycemia. Which of the following medications is best avoided in this patient? Acarbose Glimepiride Pramlintide Sitagliptin - CORRECT ANSWER 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 protein, one quarter starch, one quarter fruit. One half starch, one quarter protein, one quarter vegetables. One half vegetables, one quarter protein, one quarter starch. One quarter protein, one quarter starch, one quarter vegetables, one quarter fruit. - CORRECT ANSWER One half vegetables, one quarter protein, one quarter starch. Which of the following foods is considered to be a carbohydrate-containing food? Avocados Yogurt Chicken Eggs - CORRECT ANSWER Yogurt A patient with diabetes consumes a breakfast consisting of oatmeal, 8 oz skim milk, and 1 cup cubed cantaloupe. The oatmeal is prepared by cooking ¾ cup oats in 1½ cups water; the Nutrition Facts label is shown below. What is the approximate carbohydrate count for this meal? 50 g 57 g 67 g 81 g - CORRECT ANSWER 67 g How will use of a blood pressure cuff that is too small affect the blood pressure measurement? It will give a false low measurement. It will give a false high measurement. It can give either a false high or a false low measurement. It will not affect the blood pressure measurement. - CORRECT ANSWER It will give a false high measurement. Which of the following statements about obtaining a fingerstick blood sample is true? Cleaning the site with hand sanitizer is the preferred method of preparing the site. The center of the tip of the index finger is the preferred sampling site. Before lancing the finger, the patient should let the arm hang down at the side of the body for 30 seconds. The patient should "milk" the finger after lancing to help obtain an appropriate amount of blood. - CORRECT ANSWER Before lancing the finger, the patient should let the arm hang down at the side of the body for 30 seconds. Which of the following is the likely outcome if the SMBG test strip is not inserted fully into the meter? A false high reading. A false low reading. Either a false high or false low reading. A true reading - CORRECT ANSWER A false low reading. Which of the following statements about the certified diabetes care and education specialist (CDCES) credential is true? Completing The Pharmacist & Patient-Centered Diabetes Care certificate program fulfills all of the requirements for the CDCES. The Pharmacist & Patient-Centered Diabetes Care certificate program can be used to fulfill the diabetes continuing education requirements for the CDCES. Pharmacists are eligible for the CDCES credential upon graduating from a doctor of pharmacy program - CORRECT ANSWER The Pharmacist & Patient-Centered Diabetes Care certificate program can be used to fulfill the diabetes continuing education requirements for the CDCES. Which of the following statements about diabetes self-management education/training (DSME/T) programs is true? Having an accredited DSME/T program automatically guarantees reimbursement for diabetes education services. To be eligible for accreditation, a DSME/T program must include at least one CDE. To be eligible for accreditation, DSME/T programs must comply with the National Standards for Diabetes Self-Management Education. At least one pharmacist on the team must have performed and documente - CORRECT ANSWER To be eligible for accreditation, DSME/T programs must comply with the National Standards for Diabetes Self-Management Education. [Show More]

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