How do bisphosphonates treat osteoporosis

How do bisphosphonates treat osteoporosis

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How do bisphosphonates treat osteoporosis

1 .Question :

A twenty-two-year-old woman receives a prescription for oral contraceptives .Education for this patient includes:

Counseling regarding decreasing or not smoking while taking oral contraceptives

Advising a monthly pregnancy test for the first three months she is taking the contraceptive

Advising that she may miss two pills in a row and not be concerned about pregnancy

Informing her that her next follow-up visit is in one year for a refill and “annual exam”

Question 2 .Sallie has been diagnosed with osteoporosis and is asking about the once-a-month pill to treat her condition .How do bisphosphonates treat osteoporosis?

How do bisphosphonates treat osteoporosis – Nurses Homework | Nurses Homework

By selectively activating estrogen pathways in the bone

By reducing bone resorption by inhibiting PTH

By reducing bone resorption and inhibiting osteoclastic activity

By increasing PTH production

Question 3 .Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:

Excessive sedation

Tachycardia and angina

Weight gain

Cold intolerance

Question 4 .Intranasal calcitonin is used in the treatment of osteoporosis .For which patient is Calcitonin therapy appropriate?

Thin, Caucasian perimenopausal women

Men over the age of sixty-five years with osteoporosis

Women over the age of sixty-five years with osteopenia

Women over the age of sixty-five years with severe osteoporosis

Question 5 .The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is:

Annual dual energy X-ray absorptiometry (DEXA) scans

Annual vitamin D level

Annual renal function evaluation

Electrolytes every three months

NSG 6005 Week 8 Assignment 2 Quiz

1 .Question :

When blood glucose levels are difficult to control in type II diabetes, some form of insulin may be added to the treatment regimen to control blood glucose and limit complications risks .Which of the following statements are accurate based on research?

Premixed insulin analogues are better at lowering hemoglobin A1c and have less risk for hypoglycemia .

Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents .

Newer premixed insulins are better at lowering hemoglobin A1c and postprandial glucose levels than are long-acting insulins .

Patients who are not controlled on oral agents and have postprandial hyperglycemia can have NPH insulin added at bedtime .

Question 2 .Lispro is an insulin analogue produced by recombinant deoxyribonucleic acid (DNA) technology .Which of the following statements about this form of insulin is not true?

The optimal time of preprandial injection is fifteen minutes .

The duration of action is increased when the dose is increased .

It is compatible with NPH insulin .

It has no pronounced peak .

Question 3 .Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality .The most reliable indicator of poor nutritional status in older adults is:

Weight loss in previously overweight persons

Involuntary loss of 10% of body weight in less than six months

Decline in lean body mass over a twelve-month period

Increase in central versus peripheral body adiposity

Question 4 .Sulfonylureas may be added to a treatment regimen for type II diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels .Sulfonylureas have been moved to Step 2 therapy because they:

Increase endogenous insulin secretion .

Have a significant risk for hypoglycemia .

Address the insulin resistance found in type II diabetics .

Improve insulin binding to receptors .

Question 5 .The drugs recommended by the American Academy of Pediatrics for use in children with diabetes (depending upon type of diabetes) are:

Metformin and insulin

Sulfonylureas and insulin glargine

Split-mixed dose insulin and GLP-1 agonists

Biguanides and insulin lispro