A nurse is caring for a patient with cancer, who manages her mild pain with acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs
Her husband asks to speak with the nurse privately and explains that since his wife was diagnosed with cancer 2 years ago, she has been drinking about half a bottle of wine per day, along with a mixed drink before bed. The nurse should obtain from the prescriber an order for which of the following laboratory tests?
a. Liver function tests
b. Platelet count
c. Ammonia level
d. Hemoglobin and hematocrit level
ANS: A
A patient with chronic alcohol abuse and frequent use of acetaminophen should have liver function tests to assess for any damage to the liver.
A platelet count is not indicated in this situation, because the concern is the hepatoxic effects of both acetaminophen and alcohol.
An ammonia level would be indicated for hepatic encephalopathy and is not required in this situation.
Hemoglobin and hematocrit levels are not indicated in this situation.
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