An 80-year-old patient has been taking naproxen (Naprosyn) for osteoarthritis for 6 months. The patient reports adequate pain relief but complains of feeling tired. The primary care NP will order:
a. liver function tests.
b. a serum potassium level.
c. a complete blood count (CBC).
d. a creatinine clearance and urinalysis.
C
Elderly patients are more susceptible to the adverse effects of NSAIDs, especially slow GI bleeds leading to anemia (manifested as fatigue, lethargy). Patients complaining of fatigue should have a CBC to evaluate for anemia.
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A client with myasthenia gravis is malnourished. What actions to improve nutrition may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assessing the client's gag reflex b. Cutting foods up into small bites c. Monitoring prealbumin levels d. Thickening liquids prior to drinking e. Weighing the client daily
A nurse is assessing a client who is prescribed levothyroxine. The nurse understands that this drug is prescribed to treat the thyroid condition associated with which of the following symptoms? Select all that apply
A) Nervousness B) Anorexia C) Coarse hair D) Cold intolerance E) Tachycardia
A patient having an examination to check the placement of an intrauterine device (IUD) is diagnosed as being pregnant. For which action should the nurse prepare the patient at this time?
A) Removal of the IUD B) Surgery to abort the fetus C) Potential for a spontaneous abortion D) Nothing since the IUD can remain in place
The hospice nurse is planning a community program that emphasizes the 2020 National Health Goals to reduce long-term illness and early death in children. Which information should the nurse include in this program? (Select all that apply.)
A) Strategies to prevent unintentional injury B) Seeking early prenatal care when pregnant C) Following recommended immunization schedules D) Supporting childhood physical activity expectations E) Following recommended dietary intake requirements