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The nurse has administered 4 oz of orange juice to an alert patient whose glucose was 62 mg/dL. Fifteen minutes later, the glucose is 67 mg/dL. Which action would the nurse take next?

A patient who has diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse explain for mealtime coverage?

A patient was admitted to the med-surg unit late last night after an unwitnessed ground level fall. You were given a report that he has a history of dementia, DM2, HTN, and CAD. He takes a daily aspirin, a statin, a beta blocker, an ACE inhibitor, and metformin. He is scheduled to have a head CT scan to assess for injuries within a few hours. Which of the following orders would you question? 

The spouse of an alcoholic asks the nurse how to respond to them in a helpful way when they are disruptive in family life. Which of the following is the nurse’s best response?

The nurse suspects a unlicensed assistive personnel (UAP) is intoxicated. What is the nurse’s first response to the situation?

Convert the following instruction to machine code: sub $t1, $t2, $t3 Given that the opcode is 0, the function code is 34 and the registers are mapped as follows: $t0 01000 $t1 01001 $t2 01010 $t3 01011 $t4 01100 $t5 01101 $t6 01110 Input only the 32bits binary number with no spaces in the blank

Select the correct answer: A 61-year-old adult with a 9-year history of type 2 diabetes  and hyperlipidemia presents for diabetes follow-up.  The patient is prescribed metformin (Glucophage),  dapagliflozin (Farxiga), and simvastatin (Zocor). The patient is allergic to sulfa.  The patient’s  A1c in clinic is 8.3%. No logs are brought to the clinic appointment, but the patient reports fasting glucoses of 160-175 mg/dL. Most recent eye exam was 4 months ago. Vitals: B/P 128/83; pulse 75; respiration 16; weight 202 height 68 inches BMI 30.7. Physical exam is unremarkable.  The primary care nurse practitioner refers the patient to diabetes self-management.  What additoinal interventions should be incorporated into the clinical management plan at this time?

Select the correct answer: The primary care nurse practitioner is completing a first visit with a 58-year-old adult who experienced a 3 year lapse in healthcare. During the course of the visit, the patient reports a prior history of “Barrett’s esophagus”.  What is an appropriate plan for this patient to address this finding?

Select the correct answer:    A 48-year-old male smoker 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 and prediabetes. The patient has no known allergies. Current medications include: amlodipine (Norvasc) 10 mg daily hydrochlorothiazide 12.5 mg daily Vitals recorded during the course of the visit include: B/P 138/84; Pulse73: respiration 14; Weight 223 lb. Height 72 inches; BMI 30.2 Physical exam is 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                     5.8% Lipid panel (fasting) Lipid Panel (fasting) Total cholesterol          222 mg/dL LDL                               128 mg/dL HDL                               44 mg/dL Triglyceride                   251 mg/dL Ratio                               3.8 The calculated 10-year risk for atherosclerotic cardiovascular disease (ASCVD) is 5.8%. 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?    

Select the correct answer:    A 65-year-old Black adult was found with a blood pressure of 154/94 during a welcome to Medicare physical. A confirmatory blood pressure of 148/88 is found 1 week later. The patient has no other known chronic conditions, and follow-up renal and diabetes screenings were normal. The patient is taking no regularly prescribed medications and is allergic to sulfa. The patient is 210 pounds and 72 inches tall (BMI 28.5). The primary care nurse practitioner should immediately incorporate which of the following interventions into the patient’s cllinical management plan?