A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?
Osmolality
Serum calcium
Erythrocyte sedimentation rate
Hemoglobin
The Correct Answer is D
A. Osmolality: Osmolality measures the concentration of solutes in the blood and is not typically affected by naproxen or indicative of the reported symptoms.
B. Serum calcium: While naproxen can cause gastrointestinal irritation and ulceration, it does not typically affect serum calcium levels. Monitoring serum calcium would not directly address the client's reported symptoms.
C. Erythrocyte sedimentation rate (ESR): ESR is a nonspecific marker of inflammation and is not directly related to the reported symptoms of stomach pain, weakness, and fatigue associated with naproxen use.
D. Hemoglobin: Naproxen, a nonsteroidal anti-inflammatory drug (NSAID), can cause gastrointestinal bleeding, which may lead to anemia and a decrease in hemoglobin levels. Monitoring hemoglobin levels can help assess for gastrointestinal bleeding in this client who is experiencing stomach pain and weakness/fatigue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking for a distended bladder is the priority action because a distended bladder can contribute to uterine atony and excessive bleeding postpartum.
B. Reviewing the hemoglobin to determine hemorrhage may be necessary, but assessing for a distended bladder takes precedence as it can directly affect uterine tone.
C. Massaging the uterus to decrease atony may be appropriate if the uterus is boggy, but in this scenario, the uterus is firm.
D. Increasing intravenous infusion may be necessary if the client is hypovolemic, but assessing for a distended bladder should be done first to address potential causes of uterine atony.
Correct Answer is ["8"]
Explanation
To calculate the dose;
Weight= 20kg
Dose = 30mg/kg/day 8 hourly
Dose per day = 2030= 600mg
8hourly dose= 600/3= 200mg
Volume to give
125mg= 5ml
200mg = 2005/125
= 8ml
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