A patient with a history of gastric ulcers is admitted to the unit. A nurse reviews the admission medications
During the health history, the nurse notes that the patient has been taking nonsteroidal anti-inflammatory drugs and fluoxetine (Prozac). Which of the following laboratory tests would be the priority for the nurse to make sure that the prescriber has ordered?
a. Sodium level
b. Platelet level
c. Fluoxetine (Prozac) level
d. Potassium level
ANS: B
Fluoxetine and other selective serotonin reuptake inhibitors can increase the risk of bleeding in the gastrointestinal tract, and caution is advised in patients taking nonsteroidal anti-inflammatory drugs; together, these drugs put this patient, who has a history of ulcers, at great risk for bleeding episodes.
Sodium, fluoxetine, and potassium levels are not indicated as a priority for this patient.
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