A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?
Determine presence of abdominal pain.
Palpate volume of pedal pulses.
Assess back pain using numeric scale.
Evaluate ongoing sleep patterns.
The Correct Answer is A
A. Determine presence of abdominal pain: Chronic use of ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can lead to gastrointestinal issues such as ulcers or bleeding. Abdominal pain is a critical symptom that can indicate these serious side effects. Therefore, assessing for abdominal pain is the most important action to identify potential adverse effects related to prolonged NSAID use.
B. Palpate volume of pedal pulses: While assessing pedal pulses is important for evaluating circulation and potential peripheral vascular issues, it is not the primary concern related to the long-term use of ibuprofen. This assessment does not directly address the potential gastrointestinal complications of NSAID use.
C. Assess back pain using numeric scale: Although it is important to monitor the effectiveness of ibuprofen in managing back pain, this assessment does not address the potential side effects of prolonged use. Evaluating pain levels is useful for treatment efficacy but is secondary to monitoring for adverse effects.
D. Evaluate ongoing sleep patterns: While sleep patterns can be affected by pain or medication, they are not the most immediate concern regarding the side effects of long-term ibuprofen use. The potential gastrointestinal issues related to NSAID use take precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Adding the herb can decrease the need for corticosteroids:
There is no substantial evidence to suggest that St. John's Wort affects the need for corticosteroids. This herb's primary concern in the context of a renal transplant is its interaction with other medications rather than altering corticosteroid requirements.
B. The client probably used this herb to treat depression:
While St. John's Wort is commonly used for its antidepressant effects, this information, while relevant, does not directly address the critical issue of drug interactions that can affect transplant medication efficacy.
C. Ingestion of St. John's Wort can reduce the client’s intake of sodium:
St. John's Wort does not have a direct impact on sodium intake or levels. Its primary concern in the context of drug interactions is related to how it affects other medications rather than influencing sodium levels.
D. St. John's Wort can decrease plasma concentrations of cyclosporine:
St. John's Wort is known to interact with various medications, including cyclosporine, by inducing liver enzymes (particularly CYP3A4), which can reduce the plasma concentration of cyclosporine. This interaction is highly significant in the context of a renal transplant, as it can compromise the effectiveness of immunosuppressive therapy and increase the risk of graft rejection.
Correct Answer is ["6.7"]
Explanation
600,000 units -> 2 mL
? -> 1 mL
Cross-multiplying:
(600,000 * 1) / 2 = 300,000 units
300,000 units -> 1 mL
2,000,000 units-> ?
Cross-multiplying:
(2,000,000 * 1 ) / 300,000 = 6.67 mL
= 6.7 mL
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