NR565 Week 5: Endocrine System Case Study – Helen Smith, Alfonso Giuliani, John Jones Question 1 I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my facu...
Question 1
pts
I understand the value of doing my own work and learning this skill to support my future independent practice
as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control to
collaborate or share answers with peers, that it would not benefit my own personal and professional growth to
do so. I agree to do my own work and take personal responsibility for my learning.
I do not.
Correct!
I do.
Question 2
pts
Use the John Jones case study to answer the following question.
Which glucose level equates with a Hgb A1C of 8.1%?
~204 mg/dl
~160 mg/dl
~175 mg/dl
Correct!
~183 mg/dl
The correct answer is ~183mg/ dl. See page 400, Table 48.4, Hemoglobin A1c levels and their corresponding
eAG levels for complete information.
Question 3
pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic testing that requires IV contrast for imaging.
He inquires if there are concerns with undergoing this procedure while taking his medications. What
instructions should be given to John regarding his metformin regimen?
Correct!
Don’t take the metformin the day of the procedure and for 48 hours afterward.
,No special instructions are needed.
Take the metformin the morning of the procedure but don’t take it for 48 hours afterward.
Don’t take the metformin the day of the procedure but resume the following day.
Metformin must be withheld on the day of the procedure and for 48 hours afterward. Serum creatinine levels
should be normal before resuming metformin.
Question 4
pts
Use the John Jones case study to answer the following question.
Which of the following lab test should be evaluated before prescribing metformin?
Complete blood count (CBC)
Correct!
Complete metabolic profile (CMP)
Lipid Panel
Urinalysis
CMP provides a baseline evaluation for both hepatic and renal function which should be evaluated throughout
treatment with metformin.
Question 5
pts
Use the John Jones case study to answer the following question.
Which behavior in John’s social history poses a potential concern with initiating metformin?
His diet largely consists of fast-food meals. He drinks sweet tea with every meal.
Correct!
He reports drinking “a few beers on the weekend during football season”.
, No answer text provided.
He drinks 3-4 cups of coffee per day.
Metformin is contraindicated in alcoholics. Although it does not sound as if John is an alcoholic, further
questioning is needed, and the discussion should be documented. Metformin taken by alcoholics increases the
risk of lactic acidosis so John should be educated on this risk along with signs and symptoms of lactic acidosis.
Question 6
pts
Use the John Jones case study to answer the following question.
Metformin works by decreasing ____________ and _____________.
You Answered
glucogenesis; incretin secretion
incretin secretion; insulin production
Correct Answer
glucogenesis; insulin resistance
insulin resistance; incretin secretion
Metformin decreases glucogenesis and insulin resistance.
Question 7
pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which of the following medications should be
prescribed for John?
Canagliflozin
Glyburide
Dulaglutide
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