Select the best answer: A 62-year-old adult is participatin…
Select the best answer: A 62-year-old adult is participating in a follow-up appointment with the primary care nurse practitioner to review lab findings. The patient recently underwent an initial evaluation to establish at a new practice. The patient indicates their father experienced a stroke after turning 64 years-of-age. The patients past medical history is remarkable a history of gout and hysterectomy. The physical exam at the prior visit was unremarkable. Considering the patient’s history, physical exam and below lab findings which of the following primary prevention strategies for stroke are indicated at this time? Current medications: Multivitamin Allopurinol (Zyloprim) 100 mg daily Allergies: Penicillin Vital signs: BMI 32.1 kg/m2; B/P 118/76 mmHg; Pulse 74 bpm; R 16 breath/min; T 98.1F Labs results: Chemistry panel (fasting): Glucose 96 mg/dL Sodium 143 mEq/L Potassium 4.3 mEq/L BUN 15 mg/dL Creatinine 0.9 mg/dL A1C 5.2% Lipid panel (fasting): Total cholesterol 162 mg/dL LDL 88 mg/dL HDL 48 mg/dL Triglyceride 132 mg/dL Hgb 14.2 g/L HCT 42.8% Uric acid 3.9 mg/dL.