The nurse is caring for a patient receiving intravenous ibuprofen for pain management. The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?
a. Elevated creatinine
b. Elevated platelet count
c. Elevated white blood count
d. Low liver enzymes
A
Ibuprofen can result in renal insufficiency, which may be noted in an elevated serum creatinine level. Thrombocytopenia (low platelet count) is another possible side effect. An elevated white blood count indicates infection. Although ibuprofen is cleared primarily by the kidneys, it is also important to assess liver function, which would show elevated liver enzymes, not low values.
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If staff nurses were conducting a "research utilization critique," they would be involved in which stage of Stetler's (2001) model?
1. Validation. 2. Translation/Application. 3. Comparative evaluation and decision making. 4. Evaluation.
The nurse administering an adrenergic medication knows that it will have which of the following effects on the circulatory system?
A) Thin, watery saliva B) Increased heart rate C) Decreased blood pressure D) Constricted bronchioles
You are caring for a patient who has had transsphenoidal surgery. You know that when a patient has transsphenoidal surgery it is generally for a problem with what?
A) Pituitary B) Thalamus C) Hypothalamus D) Foreamen ovale
The nurse is preparing to assess a client with an exacerbated anxiety disorder that has a history of asthma and arthritis. Which initial assessment should the nurse perform?
A. Medication history. B. Psychosocial assessment. C. Respiratory assessment. D. Musculoskeletal.