Select the correct answer: A 58-year-old adult presents f…
Select the correct answer: A 58-year-old adult presents for an annual wellness visit. The patient has no current complaints and is seeking follow-up for existing health concerns. Past medical history is positive for 3-year history of hypertension. The patient has a history of pre-eclampsia and gestational diabetes. The patient has no known allergies. Current medications include: amlodipine (Norvasc) 10 mg daily hydrochlorothiazide 12.5 mg daily Vitals signs: B/P 132/78; Pulse 73 beats/min: respiration 14 breaths/min; Weight 223 lb. Height 72 inches; BMI 30.2 Physical exam: unremarkable. Labs obtained one-week prior to the current visit include: Chemistry (fasting): Glucose 115 mg/dL Sodium 140 mEq/L Potassium 4.3 mEq/L Chloride 96 mEq/L BUN 12 mg/dL Creatinine 1.1 mg/dL eGFR 98 mL/min A1c 6.1% Lipid panel (fasting) Total cholesterol 204 mg/dL LDL 128 mg/dL HDL 44 mg/dL Triglyceride 180 mg/dL Ratio 3.8 The calculated 10-year risk for atherosclerotic cardiovascular disease (ASCVD) is 6.3%. In addition to providing cardiovascular lifestyle education (smoking cessation and exercise prescription), which of the following interventions should be included in this patient’s management plan?