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The object of this question is to push you to think. You must use the information we’ve covered in this course to synthesize the answer. Make sure that you touch on each of the five points that are outlined in the question. Glucagon-like peptide-1 (GLP-1) is a naturally occurring hormone that is known to suppress glucagon release.  A recent new wave of “wonder drugs” that are GLP-1 agonists are being prescribed to treat obesity, among other things. Examples of these drugs include Ozempic, Wegovy, or Zepbound. It is quickly becoming one of the highest selling treatments on the market, even though it is still unclear if there will be any long term side effects. Most don’t even fully understand how it works even though it is being touted as a silver bullet. Lucky for you, you took this Physiology course. Using what you learned about the endocrine system, speculate how you believe this drug works relative to the endocrine system. (1) What is an agonist and what do you think is the action of this drug? (2) What organ and what cells normally release the hormone that this drug suppresses? (3) Even though naturally occurring GLP-1 suppresses one hormone from this organ, it also known to stimulate the release of another very important antagonist hormone from the same organ. What is the hormone, what cells release it and what does it do? (4) Since you know two of the basic functions of the drug and their targeted endocrine pathways, how would the drug impact these two defined endocrine pathways and the other physiological systems we’ve discussed? (5) What benefit would you speculate the drug would have for patients with Diabetes Mellitus?

A client with cirrhosis and ascites undergoes paracentesis with removal of 5 liters of fluid. Which order should the nurse clarify?

See the previous question.  Will Veronica be able to verify that Sigmund created the message?  Will Reese be able to verify that Sigmund created the message?  Explain your answers. 

A 70 year old patient with a history of hypertension and coronary bypass surgery has been diagnosed with hypothyroidism. An appropriate initial medication selection would be :

Ronnie an adolescent male is in for his well-child checkup, the NP notes approximately 20 papules and comedones and on the patient’s face, chest, and back. He has been using OTC benzoyl peroxide. The NP should begin treatment with:

*Maxy is a 10 month old female who is exclusively breast fed.  What guidance would be helpful to Mom regarding continued breast feeding?

Which system is responsible for automatic, emotion-driven behavior?

A client post fall presents to triage in the emergency department with clear nasal drainage, bruising behind the ears, and reports a headache. Which is the priority action?

Self-efficacy comes from all of the following except:

The most powerful source of self-efficacy is from past performance accomplishments.