Select the correct answer. A primary care nurse practitioner…
Select the correct answer. A primary care nurse practitioner is performing a Medicare wellness exam on an 84-year-old adult with a history of type 2 diabetes, osteoporosis, hypertension, stage 2 chronic kidney disease, mild cognitive impairment, and osteoarthritis. The patient’s most recent A1C was 7.3%. Vitals at this visit were: B/P 138/86; Pulse 62; R: 16, Weight 75kg (unchanged since last visit). The patient resides with a family caregiver who supervises care and medication administration. Current medications are: metformin (Glucophage) 1000 mg twice daily enalapril (Vasotec) 5 mg twice daily bandronate (Boniva) 150 mg monthly naproxen (Naprosyn) 220 mg every 12 hours as needed for arthritic pain In collaboration with the patient and caregiver recommendations which of the following should be incorporated into this patient’s plan of care?
Read DetailsSelect the correct answer: A 70-year-old adult presents for…
Select the correct answer: A 70-year-old adult presents for a primary care visit reporting periods of forgetfulness over the past several months. The patient describes difficulty concentrating, has missed several appointments with friends and family and forgot to pay the electric bill. The patient lives with a long-term partner and has children and grandchildren who reside locally. The patient is a retired factory worker and reports enjoying retirement, swims for 45 minutes daily, and reports being active with family and social activities. Past medical history is positive for osteoarthritis and type 2 diabetes which is well-controlled with metformin. Vitals: B/P 124/80; pulse 82 regular; R 16; T 97.8 The physical examination is unremarkable. Geriatric Depression Scale score is 2 and a score of 28 out of 30 is observed on the St Louis University Mental Status Exams (SLUMS) assessment. What additional diagnostics should be incorporated in the initial evaluation of this patient?
Read DetailsSelect the correct answer. An 88-year-old adult presents wit…
Select the correct answer. An 88-year-old adult presents with a family caregiver for evaluation by the primary care nurse practitioner. The caregiver reports concerns that beginning 24 hours ago the patient experienced difficulty getting up from a chair and standing for any length of time. The caregiver reports that the patient was acting as usual one week ago and was able to actively participate in and tolerate a grocery shopping trip. The primary care nurse practitioners first action should be to:
Read Details__________ founded the first California mission in San Diego…
__________ founded the first California mission in San Diego. While he was praised in Spain, and later elected to sainthood by the Catholic Church, the missions he directed were known for forced labor and disease that took a heavy toll among the Native Americans who lived in the missions.
Read Details