A 40-year-old patient is in the clinic for a routine physical examination. The patient has a body mass index (BMI) of 26 . The patient is active and walks a dog daily
A lipid profile reveals low-density lipoprotein (LDL) of 100 mg/dL, high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 250 mg/dL. The primary care nurse practitioner (NP) should: a. order a fasting plasma glucose level.
b. consider prescribing metformin (Glucophage).
c. suggest dietary changes and increased exercise.
d. obtain serum insulin and hemoglobin A1c levels.
A
Testing for type 2 diabetes should be considered in all adults with a BMI greater than 25 who have risk factors such as HDL less than 35 mg/dL or triglycerides greater than 250 mg/dL. A fasting plasma glucose level greater than 126 mg/dL indicates diabetes. Metformin is not indicated unless testing is positive. Lifestyle changes may be part of the treatment plan. Serum insulin level is not indicated.
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The nurse is caring for an older adult client who is very thin and emaciated. The client reports new onset of shortness of breath. A chest x-ray reveals a spot on the lungs that the physician believes is an inoperable lung cancer
Due to the client's poor nutritional status, chemotherapy is not an option. The health care provider also believes that the location of the cancer would make radiation therapy unsuccessful. In advocating for this client, what should the nurse encourage the healthcare team to do? A) Provide palliative care to keep the client comfortable without diagnostic testing. B) Perform any procedure necessary to diagnose the client properly. C) Promote the use of blood tests to diagnose the suspected cancer. D) Determine the client's and family's wishes regarding diagnostic testing.
The technique that produces relaxation via the stimulation of skin and surrounding tissue is called ____________________
Fill in the blank(s) with correct word
Those who are seriously mentally ill constitute about ____________________% of the homeless
Fill in the blank(s) with correct word
A nurse assesses the risk of the members of the community. Which of the following are most likely to be living at or below the poverty line?
A) An 83-year-old single woman B) A couple who are both 72 years old C) A white 73-year-old man D) A Hispanic couple in their 60s