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 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.
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
~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?
,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)
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.
He reports drinking “a few beers on the weekend during football season”.
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 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.
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
~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?
,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)
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.
He reports drinking “a few beers on the weekend during football season”.
