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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?

A.

Osmolality

B.

Serum calcium

C.

Erythrocyte sedimentation rate

D.

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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Related Questions

Correct Answer is C

Explanation

- A: While regular foot inspection is important for individuals with diabetes to prevent complications, it is typically recommended to be done daily rather than monthly.
- B: While having regular meals is part of good diabetes management, the statement does not encompass the entirety of dietary management such as carbohydrate counting or monitoring blood glucose levels.
- C: Annual eye examinations with an ophthalmologist are crucial for individuals with diabetes as they are at risk for diabetic retinopathy, which can lead to blindness if not detected and treated early.
- D: Although using salt, herbs, and spices can improve the flavor of foods, this statement does not directly relate to diabetes management and symptom control. Moreover, excessive salt intake should be avoided in diabetes due to the increased risk of hypertension.

Correct Answer is ["A","C","D"]

Explanation

A. Metformin should be taken with meals to reduce gastrointestinal side effects and to improve absorption.

B. Sliding scale insulin is not typically initiated at the start of metformin therapy; it is used when blood glucose levels are not controlled by oral medications alone.

C. Patients should be aware of the signs and symptoms of hypoglycemia, as it can occur with metformin, especially when combined with other antidiabetic medications or significant

lifestyle changes.

D. Persistent polyuria can be a sign of uncontrolled diabetes, and patients should report this to their healthcare provider for further assessment.

E. Taking an additional dose of metformin for signs of hyperglycemia is not recommended; instead, patients should follow their healthcare provider's instructions for managing high blood sugar levels.

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