Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

The nurse reviews the lab values.

What questions can the nurse ask the client based on the lab results? Select all that apply.

A. Weight change in the last month:

While monitoring weight changes is important in clients with depression, it is not the most critical piece of information to obtain before initiating duloxetine. Weight changes are one of many possible side effects of the medication.

B. Recent use of other antidepressants:

Knowing about the client's previous antidepressant use is relevant, but it is not the most critical information to obtain before starting duloxetine. The choice of medication should be based on the client's current clinical condition and needs.

The most important information for the nurse to obtain when planning care for a client with major depression receiving a new prescription for duloxetine is:

C. Liver function laboratory results.

Explanation: Duloxetine is an antidepressant medication that can affect liver function. It is important to assess the client's liver function through laboratory results before starting the medication to ensure that the client's liver can metabolize the drug safely. Monitoring liver function during treatment is also essential to identify any potential adverse effects on the liver.

D. Family history of mental illness:

While family history can provide valuable information about a client's risk factors for mental illness, it is not the most crucial information to obtain before starting duloxetine. Assessing the client's current medical status and the potential impact of the medication on their liver function takes precedence.

A. Dizziness:

While dizziness can be a side effect of ibuprofen, it is generally less serious than vomiting blood. Dizziness should still be reported, but it is not as urgently concerning as hematemesis.

B. Nausea:

Nausea is a common side effect of ibuprofen and can occur due to its effects on the stomach lining. While it should be reported, it is not as immediately concerning as vomiting blood.

C. Insomnia:

Insomnia is not typically associated with ibuprofen use and is generally less concerning in this context. It should be addressed but is not a sign of a potentially life-threatening condition.

In summary, the presence of hematemesis is a critical finding that suggests significant gastrointestinal bleeding and requires immediate medical attention when a client is taking ibuprofen.

The finding that is most important for the nurse to report to the healthcare provider when caring for a client who has been taking ibuprofen is:

D. Hematemesis.

Explanation: Hematemesis refers to vomiting blood, which is a serious and potentially life-threatening symptom. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can cause gastrointestinal irritation, ulcers, and bleeding as side effects. The presence of hematemesis indicates a significant gastrointestinal problem, likely related to the use of ibuprofen, and requires immediate medical attention.