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Mike is a 63-year-old that you follow with CAD, hypertension, diabetes, and dyslipidemia.  He presents for his routine follow up and tells you “I don’t know what’s wrong with my legs, but they cramp really bad and hurt.  I can walk as far as my mailbox at the end of the driveway and I’ll be darned if every time they don’t start to hurt halfway back to the house.  What do you think is wrong with me?”  Given this history, you suspect:

You suspect a patient has peripheral arterial disease. Which is (are) part of your treatment plan? Select all that apply. 

When the nurse provides care for a client with chronic kidney failure, which assessments will the nurse complete that would indicate a finding of fluid overload? Select all that apply. 

The nurse is caring for a patient with acute renal failure. Which factor in the patient’s medical history is likely to have contributed to the patient’s development of renal failure? 

Your 70-year-old patient comes to clinic with complaints of dyspnea and bilateral lower leg edema. You suspect her heart failure is exacerbating. Her meds include sacubitril/valsartan, furosemide, and dapagliflozin. Which lab would best assist you in diagnosing the worsening heart failure?

A patient is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statement by the nurse is accurate regarding PD? 

Jacque is a 31-year-old with a history of asthma for 6 years that is well controlled.  He is extremely concerned about catching COVID-19 with his history of asthma. He tells you, “I know I will die if I catch COVID. When I had bronchitis, I could barely breathe. I hear COVID is much worse.” According to the latest GINA guidelines, what should you tell Jacque? 

You suspect a patient has mixed arterial and venous vascular disease. What is the most appropriate treatment strategy? 

Betty is a 57-year-old diabetic that is new to your practice.  One of her concerns that she brings to you is that she has a “rash to my lower legs that won’t go away.”  On exam you see a brawny edema with hemoseidrin staining.  You also note that she has 2 mm of pretibial edema.  This is most indicative of:

Catherine is a 65-year-old patient here to see you for follow-up labs two months after a new diagnosis of HFrEF. Her medications include sacubitril-valsartan, carvedilol, spironolactone, and dapagliflozin. Her current potassium is 6.0 mEq/L. What is your best intervention to keep Catherine healthy?