An 80-year-old patient who has COPD takes TMP/SMX for acute exacerbations, which occur three or four times each year. To monitor this patient for adverse drug reactions, the primary care NP should order:
a. liver function tests.
b. blood urea nitrogen and creatinine.
c. serum bilirubin levels.
d. a complete blood count (CBC) with differential.
D
The most frequently reported severe adverse reactions in elderly patients include bone marrow depression and decreased platelets. A CBC with differential is indicated to monitor for this. Evaluation of liver and renal function should be performed before beginning treatment because adverse effects are more common in patients with decreased renal and liver function.
You might also like to view...
An older adult client with heart failure is experiencing activity intolerance due to dyspnea on exertion. Which nursing intervention is a priority for the client?
A) Complete all nursing care at the end of the shift. B) Delegate care for the client to an aide. C) Complete all nursing care in the morning. D) Pace nursing care throughout the shift.
During the admission assessment of a new client, the nurse has collected and documented a set of vital signs to serve as baselines for future assessment. The client's vital signs would be considered to be what?
A) Judgments B) Nursing diagnoses C) Cues D) Inferences
All of the following describe how endocrine disorders develop except
A. gland underproduces its hormones. B. gland overproduces its hormones. C. gland produces hormones too early. D. target cells are overresponsive to the effects of hormones.
The nurse is conducting a quantitative research study. Quantitative research:
a. assumes that reality is fixed and stable. b. is based on an inductive approach. c. seeks to gain knowledge through observation. d. usually produces data in narrative format.