A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair taskforces to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager’s approach to improve their own units. This nurse is which type of leader?

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?

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

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?

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.