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The nurse is prioritizing hypotheses related to a patient’s primary areas of concern. Which nursing statement reflects the outcome of this process?

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the “meet the candidate” session at the town hall meeting. This is an important time for the nurse to implement what action?

Dennis is a 58-year-old man you follow in your practice with hypertension and hyperlipidemia.  His BMI is 40, his last fasting blood sugar was 111, and he meets criteria for metabolic syndrome.  You have recommended that he start on a statin but he is not sure he wants to do so as “Everybody says it’s causing diabetes.  I’ve got enough problems without taking a medicine that’s going to make me have more problems”.  You have been following him for at least 3 years and he has yet to lose any weight or change dietary practices.  What is your best response?

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?

In caring for a patient with diabetes, microalbuminuria measurement should be obtained:

Rachel is a 26-year-old who is in for her annual wellness screen. PMH: fibromyalgia, poorly differentiated rheumatoid arthritis. Family history:  Both parents with hypertension, hyperlipidemia and Mom has diabetes.  She is not a smoker and rare alcohol use.    Her FLP reveals a total cholesterol of 250, HDL of 50, LDL of 210, triglycerides of 150.  What would be your recommendation?

You are reviewing labs and note that a patient’s fasting blood sugar is 107 mg/dL.  Your most appropriate action would be to:

Tom, a new patient is here to see you today about his recent diagnosis of Type 2 diabetes mellitus.  Due to the COVID pandemic and Tom starting to work from home, he has gained 12 pounds in the last year.  The patient weighs 215 pounds and BMI is 37 kg/m2.  Tom asks you about weight loss and what goals he should set.  

Don is a 79-year-old male, with past medical history of obesity, former cigarette smoker, hypertension, chronic obstructive pulmonary disease, pre diabetes, glaucoma, and hyperlipidemia.  You are seeing him for the first time in clinic today and review his medication list.  Which medications should be stopped according to the guidelines? Metformin (Biguanide) 1000 mg BID Lipitor (Statin) 40 mg daily Advair (Inhaled glucocorticoid and Long acting beta-2-agonist) 1 inhalation by mouth twice daily Nadolol (Non selective beta blocker) 40 mg daily  

Lab testing for a patient newly diagnosed with hypertension should include: Select all that apply