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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A moderate amount of foul-smelling lochia can indicate an infection, especially if accompanied by other signs such as fever or abdominal pain.
B. Blood pressure within normal range is not indicative of postpartum infection.

C. While an elevated temperature can be a sign of infection, it's not specific enough on its own.

D. A high white blood count can indicate infection, but it's not as specific as the presence of foul-smelling lochia in the postpartum period.

A. Administer a half dose now. B. Give another dose C. Mix the next dose with food. D. Withhold this dose.

Correct Answer is D

Explanation

A. Administering a half dose now may lead to an incorrect dosage and potential toxicity.

B. Giving another dose without medical guidance could result in overdose.

C. Mixing the next dose with food may not ensure proper absorption and dosage control.

D. Withholding the dose is the appropriate action to take after vomiting to prevent potential overdose or toxicity.

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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?

Nursing Test Bank

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