Choose the correct answer: A young adult with an 3-year hist…

Choose the correct answer: A young adult with an 3-year history of type 2 diabetes treated with metformin and semaglutide (Ozempic) reports a desire to attempt pregnancy in the near future.  Recent retinal and nephropathy screenings have been normal. The primary care nurse practitioner informs the patient that medication adjustments including a transition to insulin will be required and that which of the following A1C preconception targets is required to optimize future maternal and fetal pregnancy outcomes?

Select the correct answer: A 56-year-old adult who is taking…

Select the correct answer: A 56-year-old adult who is taking metformin and sitagliptin (Januvia) was started on 10 units of bedtime insulin glargine (Lantus) 3 days ago for persistent fasting glucose elevations The patient’s  A1c was 8.8% two weeks ago The patient contact the primary care nurse practitioner to report fasting glucoses of 220 mg/dL.  What action on the part of the primary care nurser pactitioner is appropriate?

Select the correct answer:  A 55-year-old post-menopausal ad…

Select the correct answer:  A 55-year-old post-menopausal adult with type 2 diabetes presents to an urgent care center with a report an acute onset of severe abdominal pain accompanied by nausea and vomiting. Home remedies have not been effective in controlling symptoms. Morning blood glucose was 176 mg/dL.; Last A1c in clinic was 6.9% Current medications are: Metformin 1000 mg/dL Trulicity (dulaglutide; weekly) Vitals: B/P 118/70; pulse 112; resp 22; temp 99.6; pain level 9/10 BMI 32.5 Physical exam shows patient who appears to be in acute distress and is guarding the abdomen. Cardiac and pulmonary exams are normal. Abdomen is firm and extremely tender to palpation. Which of the following interventions should be incorporated into the initial clinical plan for this patient?