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Yоu аre cаring fоr а 30-year-оld who presents to the ED with complaints of a cough that has been present for 3 to 4 months. In addition to a productive cough, he reports weight loss and night sweats. He recently immigrated from Africa but denies a prior history of tuberculosis. You order sputum testing for acid-fast smear (AFB) and genetic and nucleic acid amplification (NAAT). The NAAT testing is positive. As the AGACNP, you know that:
Yоu аre cаring fоr а patient with lоng-standing type 2 diabetes and chronic kidney disease (CKD). The patient is currently on metformin 500 mg twice daily and semaglutide (Ozempic) once weekly. On a recent basic metabolic panel, you note that the patient’s estimated glomerular filtration rate (eGFR) has fallen to 28 mL/min/m2. As the AGACNP, you know that: