A patient states that she takes acetaminophen (Tylenol) four to five times daily when she is at home. Which of the following laboratory tests is a relevant response to this practice?
A) Cardiac enzymes
B) Peak and trough
C) Liver enzymes
D) White blood cell count
C
Feedback:
Laboratory tests of liver, kidney, and bone marrow function are often helpful because some drugs may damage these organs. Cardiac enzymes are assessed in the event that the patient has had myocardial infarction symptoms. The peak and trough indicates the amount of medication when half the medication has been excreted and the serum level of the medication prior to the administration of the next dose. The white blood cell count is indicative in the event of agranulocytosis or infection.
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On assessment of a client, you note fremitus over the trachea but not in the lung periphery. You know that this most likely represents
a. bilateral pleural effusion. b. bronchial obstruction. c. a normal finding. d. apical pneumothorax.
The nurse is assessing an adolescent patient during a health maintenance visit. Which assessment finding would cause the nurse to suspect the adolescent is participating in the choking game?
1) Stomach pain 2) Red eyes 3) Chronic cough 4) Constipation
The nurse is teaching a client about taking risedronate (Actonel) for osteoporosis. Which statement by the client indicates a need for further teaching?
1. "I will wait at least 30 minutes before eating." 2. "I will take the medication first thing in the morning, with water." 3. "I can return to bed while I wait for the medication to work." 4. "I will report difficulties with heartburn."
Which activity illustrates the concept of primary prevention?
a. Monthly breast self-examination b. Annual cervical (Papanicolaou test) examination c. Education about living with asthma d. Exercising three times a week