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 C

Explanation

A. Increasing the intake of dark green leafy vegetables while taking warfarin can affect INR levels due to their high vitamin K content, potentially increasing the risk of bleeding.
B. Eating two servings of raw dark green leafy vegetables daily and continuing for 30 days after warfarin therapy is completed is not recommended as it may affect INR levels.
C. Eating approximately the same amount of leafy green vegetables daily helps maintain consistent vitamin K intake, which is important for keeping INR levels stable while on warfarin therapy.
D. Avoiding all foods containing vitamin K is not necessary and may lead to nutritional
deficiencies; instead, it's important to consume a consistent amount of vitamin K-containing foods.

A. "Which medication works best?" B. "When do you hear voices?" C. "How do you cope with the voices?" D. "What are the voices saying?"

Correct Answer is D

Explanation

A. "Which medication works best?": While medication management is important in treating schizophrenia, asking about medication effectiveness may not provide immediate insight into the nature or content of the hallucinations.

B. "When do you hear voices?": Understanding the timing of hallucinations can provide some context, but it may not directly address the content or impact of the hallucinations on the client's well-being.

C. "How do you cope with the voices?": Understanding coping strategies is valuable, but it may not reveal the specific content of the hallucinations.

D. "What are the voices saying?": This question is crucial because it helps the nurse understand the content and potential themes of the auditory hallucinations, which can inform the treatment plan and interventions for the client's symptoms.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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