A 48-year old male patient was diagnosed with Type 2 DM 4 months ago.  His A1c at the time was 8.1%.  He agreed to work on lifestyle changes and has been walking 2 miles daily, has cut back on his carbohydrate intake, and has lost 15 pounds (current BMI=30.9).  His recent A1c= 7.2%. Current BP = 132/78.  His recent lipid profile shows mild hypercholesterolemia with a total cholesterol =210, LDL-c = 108.   Serum creatinine = 0.64 and GFR=61.  The NP congratulates him on his efforts, discusses his test results and the recommendations for management to reduce the risk for diabetes-associated co-morbidities, and plan of care with him.  The patient is in agreement with the plan of care. The NP will order: (Select All That Apply)

The GOLD 2023 Update Implications for Clinical Practice changed the definition of COPD to improve earlier identification and treatment. The new definition includes all of the following criteria except: 

What type of ambulatory monitoring is used in patients that need to be monitored for up to 30 days?

Which of the following patients is NOT a candidate for ambulatory monitoring?

How long is the QT interval in the figure below: PR interval.jpg

Which method of estimating heart rate should you use for this tracing, and what is the estimated heart rate? The image below has 30 large boxes.

Identify the following rhythm:The image below has 30 large boxes.

Which is the most commonly used stress test protocol for a healthy patient?

Identify the abnormal cardiac cycle. 

Mrs. Hansen has an ambulatory monitor in place. What instructions do you give her regarding the electrodes?