The nurse is managing care for clients who will receive ibuprofen (Advil) for long term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?
1. Electrolytes
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
5. Serum amylase
Correct Answer: 2,3,4
Rationale 1: There is no specific reason to monitor the clients' electrolytes.
Rationale 2: Ibuprofen may result in a decrease in hemoglobin and hematocrit. Baseline levels should be documented.
Rationale 3: Ibuprofen may increase bleeding times. Baseline values should be documented.
Rationale 4: AST and ALT may be increased so it is important to document baseline levels.
Rationale 5: It is not necessary to draw baseline serum amylase levels.
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