An adult 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?
Creatinine
Serum calcium
Erythrocyte sedimentation rate
Hemoglobin
The Correct Answer is D
Choice A: Creatinine is not a relevant laboratory test for the nurse to monitor, as this reflects renal function and is not affected by naproxen or arthritis. This is a distractor choice.
Choice B: Serum calcium is not a pertinent laboratory test for the nurse to monitor, as this indicates bone metabolism and is not related to naproxen or arthritis. This is another distractor choice.
Choice C: Erythrocyte sedimentation rate is not an important laboratory test for the nurse to monitor, as this measures inflammation and is not influenced by naproxen or stomach pain. This is another distractor choice.
Choice D: Hemoglobin is an essential laboratory test for the nurse to monitor, as this shows blood oxygen-carrying capacity and can be reduced by naproxen-induced gastrointestinal bleeding, which can cause stomach pain, weakness, and fatigue. Therefore, this is the correct choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C is correct because repositioning the infant every 2 hours can help expose different parts of the skin to the phototherapy light and increase the effectiveness of the treatment. The nurse should also check the skin for signs of irritation or burns.
Choice A is incorrect because feeding the infant every 4 hours is not specific to home phototherapy. The infant may need more frequent feedings depending on their hunger cues and weight gain.
Choice B is incorrect because performing diaper changes under the light is not necessary and may expose the infant's genitals to excessive light and heat. The nurse should advise the parents to cover the infant's eyes and genitals with protective shields during phototherapy.
Choice D is incorrect because covering the infant with a receiving blanket can reduce the exposure of the skin to the phototherapy light and decrease the effectiveness of the treatment. The nurse should advise the parents to keep the infant unclothed or only in a diaper during phototherapy.
Correct Answer is D
Explanation
Choice A reason: Marking an outline of the "olive-shaped" mass in the right epigastric area is not a priority nursing action. The mass is caused by hypertrophy of the pyloric sphincter, which obstructs gastric emptying and causes projectile vomiting. The mass may not be palpable in all cases.
Choice B reason: Instructing parents regarding care of the incisional area is a post-operative nursing action, not a pre-operative one. The parents will need to learn how to keep the incision clean and dry, monitor for signs of infection, and administer pain medication as prescribed.
Choice C reason: Monitoring amount of intake and infant's response to feedings is important, but not the highest priority. The infant may have difficulty feeding due to nausea, vomiting, and abdominal pain.
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