In addition to identifying a client’s strengths and weaknesses, while analyzing the assessment data, what should the nurse be doing?

When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient’s care?

You are reviewing labs and note that a patient’s fasting blood sugar is 107 mg/dL.  Your most appropriate action would be to:

Which medical conditions or exogenous causes may precipitate secondary hypertension?  Please select all that apply.

Mark is a 53-year-old who presents to clinic today for follow up of his hypertension.  He has been on Lisinopril HCT 20/25 for many years and is tolerating well without complaint.  He denies chest pain, shortness of breath, palpitations, dizziness.  He has been on this combination for at least 10 years and his BP today is 120/70.  According to the 2017 ACC/AHA Guidelines, what would the best plan of care?

Mrs. Scott, a 45-year-old Caucasian woman,  presents to clinic today for follow up of her hypertension.  PMH significant for myocardial infarction four months ago.  She is routinely on Lisinopril 5 mg daily and HCTZ 12.5 mg daily.  Her SBP has been consistently 142-148 mm/Hg. Per ACC/AHA Guidelines, what group of anti-hypertensive agents should you give consideration to adding to her current therapies?

You have started a patient on statin therapy after completing your initial work up.  What are the most cost effective labs to order to monitor impact of therapy?

This anti-hypertensive class is a cost effective preferred agent for those with chronic kidney disease to provide renal protection.

Erin, a 54-year-old patient of yours, has had type 2 diabetes for 15 years and her most recent A1C is 6.9%.  Currently, she takes 1000 mg of Metformin, BID.  Which labs are important to monitor in patients who take Metformin?  Select all that apply.

Dennis is a 58-year-old man you follow in your practice with hypertension and hyperlipidemia.  His BMI is 40, his last fasting blood sugar was 111, and he meets criteria for metabolic syndrome.  You have recommended that he start on a statin but he is not sure he wants to do so as “Everybody says it’s causing diabetes.  I’ve got enough problems without taking a medicine that’s going to make me have more problems”.  You have been following him for at least 3 years and he has yet to lose any weight or change dietary practices.  What is your best response?