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 ["B","C","D","F"]
Explanation
A. Alcohol consumption can indeed produce vascular changes and contribute to hypertension, making this statement incorrect.
B. Regulating sodium intake by limiting canned foods in the diet is a valid strategy to prevent hypertension.
C. Salt substitutes can be a part of maintaining a healthy diet and may help in reducing sodium intake, which is beneficial for blood pressure control.
D. Weight management through daily walks for thirty minutes is an effective method to prevent hypertension.
E. Blood pressure readings should be taken at various times of the day to assess for fluctuations; noontime is not specifically recommended.
F. Uncontrolled hypertension can indeed lead to renal damage, among other complications, making this a key point for client education.
Correct Answer is A,C,D,B
Explanation
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