Select the correct answer: A 57-year-old Black adult with a…

Select the correct answer: A 57-year-old Black adult with a 15-year history of diabetes presents for diabetes follow-up and a blood pressure recheck. The last b/p in clinic was 145/88. Vitals: 158/92; pulse 70; resp 16; Weight 223 lb; Height 70 inches; BMI 32.0 Medications: metformin 1000 mg bid, semaglutide (Ozempic) 1 mg subcutaneously weekly Allergies: penicillin The physical exam in not remarkable. Chemistry panel (fasting) Glucose                  124 mg/dL Sodium                   140 mEq/L Potassium                3.9 mEq/L BUN                          15 mg/dL Creatinine                 1.2 mg/dL eGFR                           78 mL/min A1c                            7.1% Urine albumin/creatinine ratio (repeated x 3)       325 mg/g Cr; 303 mg/g Cr; 313 mg/g Cr Which of the following interventions should be incorporated into this patient’s management plan?

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:  The nurse practitioner is treati…

Select the correct answer:  The nurse practitioner is treating a 68-year-old adult with a history of type 2 diabetes and stage 2 chronic kidney disease. The patient is currently being treated with the following medications: hydrochlorothiazide (Diuril) 25 mg daily lisinopril (Prinivil) 20 mg daily empaglifozin (Jardiance) 10 mg daily Vital signs in clinic: B/P 146/88; pulse 74; respirations 16; Height 67 inches; Weight 182 lb; BMI 28.5 kg/m2 Labs: Glucose                142 mg/dL Sodium                 138 mEq/dL Potassium              4.8 mEq/L BUN                       18 mg/dL Creatinine              1.2 mg/dL A1c                       6.8% What, if any, adjustments to the management plan are indicated at this time?