University of North Texas Information Technology Discussion

University of North Texas Information Technology Discussion

Question Description

I’m working on a nursing multi-part question and need an explanation and answer to help me learn.

A 70-year-old woman has scheduled an initial evaluation with  you. Her medical diagnoses include hypertension, hyperglycemia, mild  obesity, and hyperlipidemia.  Her psychiatric diagnoses include anxiety  and depression.  Her current medications are atorvastatin 20 mg daily  for seven years, Ozempic 1 mg injection weekly for three years,  lisinopril 10 mg daily for 10 years, and Abilify 5 mg daily for six  years.

Labs: Fasting Blood Glucose – 115, HbgA1C – 6.9, Total  Cholesterol – 200, LDL – 100, HDL – 37. Her height is 5’2” and her  weight is 176 pounds. Her blood pressure was 146/83 upon arrival at the  office.  

  • During your interview, she explains she became  depressed following the death of her husband seven years ago. She became  anxious about performing everyday tasks without him present.  After  starting Abilify, she gained 25 pounds and required an increased dose of  atorvastatin and Ozempic.  She has been unable to lose the weight she  gained and tries to closely monitor her dietary intake due to her  persistently elevated glucose but reports still craving carbohydrates.   Her depression has improved slightly but she is still anxious to go out  alone, so she no longer goes for daily walks to exercise.
  • Questions
  • What  advice or modifications to his treatment regimen would you recommend  for your new patient? (Discuss a minimum of two). Please support your  answer with research-based evidence. 

If you suggested  additional medication, look up your state’s prescribing laws. Are  PMHNP’s able to prescribe the medication you recommended?