A nurse is caring for a patient undergoing chemotherapy. A patient asks for ibuprofen (Motrin) and states, "I didn't bring mine with me. I usually take them about four times a day
The nurse should notify the prescriber and anticipate an order for a(n)
a. serum creatinine level.
b. platelet count.
c. salicylate level.
d. absolute neutrophil count.
ANS: B
For patients undergoing chemotherapy, inhibition of platelet aggregation by nonsteroidal anti-inflammatory drugs is a serious concern, because many anticancer drugs suppress bone marrow function and reduce platelet production. Thrombocytopenia may result, putting the patient at risk for bleeding.
A serum creatinine level is not indicated, because ibuprofen is not a nephrotoxic drug.
A salicylate level would be indicated if the patient were taking aspirin, not ibuprofen.
An absolute neutrophil count is not indicated in a patient taking ibuprofen.
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