A 14 y/o adolescent male patient with type 1 diabetes mellitus returns for a follow-up visit. He reports following the prescribed insulin regimen but he continues to have elevated HbA1c levels of 8.7%. The nurse practitioner reviews the blood glucose logs showing consistent readings above 200 mg/dL before meals. What should the nurse practitioner do to modify the treatment plan?

A 75-year-old male presents with intermittent pain and paresthesias in his right foot, which worsens with walking and is relieved by rest. On physical examination, his right foot appears pale, with a capillary refill time of 4 seconds and a diminished (+1) dorsalis pedis pulse. The left foot is warm, intact, with a capillary refill of 2 seconds and a normal (+2) pulse. Based on these findings, what is the most likely underlying condition?

A 50-year-old patient has an LDL cholesterol of 160 mg/dL (optimal 100-129 mg/dL) with no cardiovascular risk factors. What is the most appropriate initial management?

A 68-year-old female presents to the clinic with fever (100.5°F), chills, a productive cough, and fatigue for the past three days. She denies confusion, nausea, or vomiting. She has been able to eat and drink normally. Her medical history includes hypertension (HTN) and hyperlipidemia (HLD). She is otherwise well and able to ambulate independently.Her vital signs are:• Blood Pressure: 118/72 mmHg• Heart Rate: 88 bpm• Respiratory Rate: 22 breaths per minute• Temperature: 100.5°F• Oxygen Saturation: 95% on room airLaboratory Findings:• White Blood Cell Count (WBC): 12,500/mm³• Blood Urea Nitrogen (BUN): 18 mg/dLBased on the CURB-65 criteria and the above information, which of the following factors contributes to the patient’s score?

A 35-year-old woman presents to the clinic with dysuria and urinary urgency for the past 2 days. She denies fever, chills, or flank pain. She also denies any history of recurrent UTIs or recent antibiotic use. She has a sulfa drug allergy. Her vitals are BP 120/78 mmHg, HR 78 bpm, Temp 98.6°F. On physical exam, she has no tenderness to her abdomen or CVA bilaterally but has suprapubic tenderness. A Point-of-Care Urinalysis was completed, which resulted in positive leukocyte esterase and nitrites with moderate bacteria. Based on the urinalysis findings and clinical presentation, what is the best initial treatment?

A Gerald is a 75 year retired postal worker who is generally healthy but presents today with progressive symptoms of fatigue, dizziness and dyspnea after exertion.  He denies chest pain or shortness of breath but does state that his ability to walk distances has diminished.  After your examination, you hear a harsh sounding murmur with a decrescendo quality at the aortic area that radiates to his neck. Which is the best diagnostic test for analysis of this heart murmur?

A 55-year-old female patient has been newly diagnosed with hypertension. The nurse practitioner is developing a home blood pressure monitoring plan and provides patient education on proper technique.Per AHA, which recommendation is most appropriate for obtaining accurate and reliable blood pressure?

A nurse practitioner is initiating HMG-CoA reductase inhibitor (statin) therapy for a 45-year-old patient with hyperlipidemia. Which prescribing consideration is most important when managing patients on statins?

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It takes Barry 4 hours to detail a car. If he worked 51hours during the week, how many cars did he detail?