A client has been admitted to the medical–surgical unit for pain evaluation. The client has arthritis and has been taking ibuprofen for many years to help alleviate the pain. What is the most important assessment for this client?
1. Respiratory auscultation to rule out congestion
2. Reviewing renal laboratory studies
3. A complete blood count (CBC) with differential to monitor for infection
4. An electrocardiogram for possible cardiomyopathy
Correct Answer: 2
Rationale 1: Respiratory congestion is not the primary concern for this client.
Rationale 2: When used for a long duration, ibuprofen can cause renal insufficiency.
Rationale 3: Infection is not the primary concern for this client.
Rationale 4: Cardiomyopathy is not the primary concern for this client.
Global Rationale: Chronic use of ibuprofen may lead to renal impairment, including acute renal failure, polyuria, azotemia, cystitis, hematuria, and increased creatinine and blood urea nitrogen levels. Respiratory congestion, infection, and cardiomyopathy is not a primary concern for this patient.
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