Problem:
LeRoy Jones (pronouns he/him/his), 51 years old, presents for an annual wellness visit. He has a history of chronic kidney disease (CKD) secondary to diabetes mellitus. Vital signs are BP 126/82, P 78, R 18, serum albumin 65 mg/g, hemoglobin A1C 5.6%.?
Based on the 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease, the nurse practitioner (NP) selects which of the following treatments for LeRoy? Need Assignment Help?
- Initiating ACE inhibitor medication
- Discontinuing the metformin prescription
- Increasing the metformin dose
- Initiating peritoneal dialysis