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Endocrine System Case Study: Advanced Pharmacology Fundamentals-Ghaeli, Exams of Nursing

An endocrine exam with correct answered questions. It presents a patient case and a series of questions related to pharmacology principles, pharmacokinetics, pharmacodynamics, and pharmacogenomics. The document also covers internal and external factors affecting drug action, reaction, efficacy, and interaction, as well as client indicators of therapeutic, ineffective, adverse responses, and side effects to drug therapy. The assignment is worth 100 points and has a due date. resources to locate the answers to the questions and feedback after each question.

Typology: Exams

2022/2023

Available from 11/28/2023

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Download Endocrine System Case Study: Advanced Pharmacology Fundamentals-Ghaeli and more Exams Nursing in PDF only on Docsity! Endocrine EXAM WITH CORRECT ANSWERED QUESTION LATEST UPDATED 2023 1 | P a g e  The purpose of this assignment is to apply the principles of pharmacology to support evidence- based prescribing  practices for the management of  2 | P a g e utilizing drugs from the major drug classes.(POs 1, 2)   CO 3: Apply knowledge of pharmacokinetics, pharmacodynamics and pharmacogenomics in prescribing patient treatment. (POs 1, 2)   CO 4: Distinguish internal and external 5 | P a g e environment factors affecting drug action, reaction, efficacy, and interaction. (POs 1, 2)   CO 5: Identify client indicators of therapeutic, ineffective, adverse responses and side effects to drug therapy. (POs 1, 2)   Due Date  6 | P a g e  The Late Assignment Policy applies to this assignment.    The assignment title is due by Wednesday 11:59 p.m. MT of Week  5.    T otal Points Possible 100   Preparing the Assignment  7 | P a g e 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 2/45  Providers.  https://clinical.diabete sjournals.org/content/ 38/1/10  (https:// clinical.diabetesjournal s.org/content/38/1/10)     Rosenthal, L., Burchum, J. (2021). Lehne's pharmacotherapeutic s for Advanced 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 3/45 Practice Nurses and Physician Assistants (2nd ed.). Elsevier.  General web search.  You will be presented with a patient case and then answer a series of questions.  Questions are worth 2 points each. After each question, you will receive feedback 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 4/45 on your answer.  However, this does mean that you will not be able to change your answer so be sure to use the resources listed to locate the answers to the questions.  When you are ready to begin this assignment, click the 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 7/45  3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 8/45  Endocrine Case Studies 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 9/45 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 12/4  LATESTAttempt 1 399 minutes 95.1 out of 100   Score for this quiz: 95.1 out of 100 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 13/4  Submitted Mar 31 at 6:38pm This attempt took 399 minutes. Question 1 0 / 0 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 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 14/4  Correct!I do. I do not. Question 2 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 17/4  The correct answer is ~183mg/ dl. See page 400, Table 48.4, Hemoglobin A1c levels and their corresponding eAG levels for complete information. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 18/4  Use the John Jones case study to answer the following question. Question 3 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 19/4  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 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 22/4    No special instructions are needed.  Don’t take the metformin the day of the procedure but resume the following day. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 23/4  Metformin must be withheld on the day of the procedure and for 48 hours afterward. Serum creatinine levels should be normal before resuming metformin. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 24/4 Question 4 2 / 2 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 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 27/4  Use the John Jones case study to answer the following question. What is the recommended interval for monitoring John’s 6- months 1- month 6- weeks Question 5 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 28/4  Correct!3- months The HgbA1C is a 3-month average of glucose; therefore, it should be re-checked in 3 months after starting treatment. Checking this lab value beforehand will provide a mixed result of glucose before and after treatment. Monitoring blood sugar between the beginning of treatment with metformin and a 3 month follow up, fasting finger stick blood 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 29/4    Use the John Jones case study to answer the following question. Question 6 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 32/4  Lipid Panel  Urinalysis  Complete blood count (CBC) 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 33/4  CMP provides a baseline evaluation for both hepatic and renal function which should be evaluated throughout treatment with metformin. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 34/4  Que stion 7  2 / 2 pts  Use the John Jones case study to answer the following question.  Which of John’s 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 37/4    C o r r e c t !  Weight 235lbs 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 38/4  He drinks 3-4 cups of coffee per day.  C o r r e c t !  BP 130/90 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 39/4  Family history is significant for diabetes. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 42/4 question.  Which behavior in John’s social history poses a potential concern with initiating metformin?  His diet largely consists of fast-food 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 43/4 meals. He drinks sweet tea with every  meal.  C o r r e c t ! 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 44/4  H e reports drinking “a few beers on the weekend during football season”.  He drinks 3-4 cups of coffee per day.  No answer text 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 47/4 the risk of lactic acidosis so John should be educated on this risk along with signs and symptoms of lactic acidosis. Question 9 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 48/4  Correct!glucogenesis; insulin resistance Use the John Jones case study to answer the following question. Metformin works by decreasing and . incretin secretion; insulin production 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 49/4   Metformin decreases glucogenesis and insulin resistance. glucogenesis; incretin secretion insulin resistance; incretin secretion 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 52/4  Stop John’s atorvastatin since he is now being treated for diabetes.  Leave John’s atorvastatin as is and re-check lipids when A1C is re- checked. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 53/4  C o r r e c t !  Increase John’s atorvastatin to 20mg per day.  Increase John’s atorvastatin to 40 mg 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 54/4 per day.  According to the ADA Standards of Medical Care in Diabetes- 2020, the correct action is to intensify lifestyle therapy and optimize 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 57/4  Use the John Jones case study to answer the following question. Which of the following statements best describes John’s status? Question 11 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 58/4  C o r r e c t !  He has diabetes and requires pharmacological intervention. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 59/4  He has diabetes but does not require pharmacological intervention.  He does not have diabetes.  He has pre-diabetes. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 62/4  Use the Alfonso Giuliani case study to Question 12 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 63/4 answer the following question.  Which of the following lab values are important to monitor while taking GLP-1 agents?  C o rrect! 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 64/4  amylase and lipase  magnesium and calcium  hemoglobin and hematocrit 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 67/4  Identify GLP-1 agents in the list below. Select all that apply.  pioglitazone  C o r r ect! 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 68/4  liraglutide  C o r r e c t !  exenatide  Y ou Answered 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 69/4  s emaglutide  C o r r e c t !  lixisenatide 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 72/4  GLP-1 receptor agonists include: albiglutide (Tanzeum) dulaglutide (Trulicity)  exenatide (Byetta) liraglutide (Victoza) lixisenatide (Adlyxin)  semaglutide (Ozempic, Rybelsus) 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 73/4  Use the Alfonso Giuliani case study to Question 14 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 74/4 answer the following question.  Which statin agents and dosages are consistent with the statin therapy intensity Alfonso needs? Select all that apply.  Correct! 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 77/4  High-intensity statin therapy options include Atorvastatin 40– 80 mg and Rosuvastatin 20-40 mg. These are agents best suited for Alfonso. Treatment agents are identified under the evidence 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 78/4 tab of the ASCVD Risk Calculator. Question 15 2 / 2 pts Use the Alfonso Giuliani case study to answer the following question. Alfonso should be started on statin therapy to address his high total cholesterol and low HDL. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 79/4  Correct!Tru e Fals e Statin therapy is recommended because of his known diabetes and 10-year risk ≥7.5%. If Alfonso’s LDL is <70mg/dl (1.81 mmol/L), additional factors like lifestyle and risk-benefits 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 82/4  High-intensity statin therapy  Moderate-intensity statin therapy  Low-intensity statin therapy 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 83/4  High-intensity statin is recommended for Alfonso because of his known diabetes and 10-year risk  ≥7.5%. If Alfonso’s LDL is <70mg/dl (1.81 mmol/L), additional factors like lifestyle and risk- benefits may be 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 84/4 considered before starting statins. Question 17 2 / 2 pts 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 87/4  diverticulitis  C o r r e c t !  pancreatitis 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 88/4  GLP-1 drugs may cause pancreatitis. GLP-1 drugs do not cause cellulitis, diverticulitis, and cholecystitis. 3/31/202 1 Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals-Ghaeli 89/4 Question 18 2 / 2 pts Use the Alfonso Giuliani case study to answer the following question. Which lab test is necessary to evaluate before prescribing a sodium/glucose cotransporter-2 LFTs