After the nurse assesses a 78-year-old who uses naproxen (Aleve) daily for hand and knee osteoarthritis management, which information is most important to report to the health care provider?
a. Knee crepitation is noted with normal knee range of motion.
b. Patient reports embarrassment about having Heberden's nodes.
c. Patient's knee pain while golfing has increased over the last year.
d. Laboratory results indicate blood urea nitrogen (BUN) is elevated.
ANS: D
Older patients are at increased risk for renal toxicity caused by nonsteroidal antiinflammatory drugs (NSAIDs) such as naproxen. The other information will also be reported to the health care provider but is consistent with the patient's diagnosis of osteoarthritis and will not require an immediate change in the patient's treatment plan.
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