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An adult patient with type 2 diabetes mellitus returns at

An adult patient with type 2 diabetes mellitus returns at the nurse practitioner’s request to discuss medication management. Current medications include metformin (Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the following regimens should the nurse practitioner recommend? Group of answer choices Basal insulin only, continuing oral medications Switching to glargine (Lantus) Rapid-acting insulin only, continuing oral medications Basal and rapid-acting insulin Flag question: Question 13 Question 13 1 pts An adult male is seen for an initial visit. He denies tobacco, drug, or alcohol use. He has a sedentary lifestyle and no family history of diabetes. BP = 120/80, P = 76, and BMI = 31. Which of the following diabetes screening tests should the nurse practitioner order? Group of answer choices No screening is indicated until age 45 Fasting plasma glucose Urine for glycosuria Basic metabolic panel Flag question: Question 14 Question 14 1 pts A 50-year-old woman with hypertension and diabetes comes in for a routine check-up. What screening test should be regularly performed to monitor for early signs of diabetic nephropathy? Group of answer choices Urine dipstick for protein Serum electrolyte panel Renal biopsy

 
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