A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor?
Stool for occult blood
Fasting blood glucose
Serum calcium
Urine for white blood cells
The Correct Answer is A
A. Monitoring for occult blood in the stool is essential because long-term use of nonsteroidal anti- inflammatory drugs (NSAIDs) like ibuprofen can increase the risk of gastrointestinal bleeding and ulceration. Occult blood in the stool may indicate gastrointestinal bleeding, which can be a serious complication of chronic NSAID use.
B. While NSAIDs like ibuprofen can affect renal function and increase the risk of kidney damage, they are not directly associated with alterations in blood glucose levels.
C. Ibuprofen use is not typically associated with alterations in serum calcium levels
D. While monitoring urine for white blood cells may be relevant in the context of renal injury, it is not as specific or sensitive as other tests such as urinalysis or renal function tests.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The primary purpose of maintaining an elastic bandage around the residual limb after a below-the- knee amputation is to provide compression and support, which helps minimize swelling (edema) of the residual limb. By reducing edema, the elastic bandage can promote proper wound healing, improve comfort, and facilitate the fitting of prosthetic devices in the future.
A. While maintaining proper wound care and hygiene can help prevent wound infections, an elastic bandage around the residual limb of a below-the-knee amputation primarily serves other purposes, such as providing compression and support, rather than directly preventing wound infections.
B. The purpose of an elastic bandage is not to conceal the surgical site. It is used primarily for compression, support, and minimizing swelling of the residual limb.
C. While an elastic bandage may help provide some pressure and support to the surgical site, its primary purpose is not to prevent sutures from loosening.
Correct Answer is ["A","B","D","E"]
Explanation
Chest pain radiating to the left arm is characteristic for angina in coronary artery disease. This is suggested more by the client’s medical history of hypertension, hyperlipidemia and type 2 diabetes mellitus.
Clients with angina are scheduled for diagnostic cardiac catheterization to assess the extent of coronary blockage
Heparin is used to prevent the propagation of a clot that is formed on an unstable atherosclerotic plaque. Beta blockers are prescribed to lower the heart rate. This reduces the myocardial demand for oxygen.
The firstline medication include antiplatelets unless there's concurrent venous thromboembolism.
Keeping the client NPO within 2 hours of the procedure is important to prevent aspiration whole under sedation.
Ambulation increases demand on the heart which may worsen the pain Antibiotics have no role in coronary artery disease.
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