The nurse is caring for a client who is taking diclofenac, an NSAID drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client’s serum laboratory values is most important for the nurse to review?

Glucose

Total protein

Sodium

Hemoglobin

Answer and Explanation

The Correct Answer is D

Diclofenac, like other NSAIDs, can cause gastrointestinal irritation and bleeding. The client’s symptoms of pallor and fatigue may indicate anemia due to blood loss. Reviewing the client’s hemoglobin level would help the nurse determine if the client is experiencing anemia and if further evaluation and intervention are needed.

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Correct Answer is B

Explanation

Lovastatin is an antilipemic medication used to lower cholesterol levels in the blood1. It is important for clients taking lovastatin to avoid drinking alcohol as it can increase the risk of liver problems. If the client remarks that they will avoid taking alcoholic beverages while taking this medication, it indicates that they understand the drug’s treatment protocol.

A. Begin therapy 1 week before the next normal menstrual cycle. B. Use condoms and a backup method of birth control. C. Call the healthcare provider immediately if there is a chance of conception. D. Ensure a negative pregnancy test two weeks before therapy.

Correct Answer is A

Explanation

Misoprostol should not be used during pregnancy as it can cause harm to the fetus. Women of childbearing potential should use eﬀective contraception while taking misoprostol. If there is a chance of conception, the healthcare provider should be contacted immediately. A negative pregnancy test is required before starting therapy with misoprostol .

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The nurse is caring for a client who is taking diclofenac, an NSAID drug for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client’s serum laboratory values is most important for the nurse to review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

Correct Answer is A

Explanation

When caring for a client with diabetes insipidus who is receiving antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor?

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