The nurse is managing care for clients who receive nonsteroidal ...

[Davideckstein7]

The nurse is managing care for clients who receive nonsteroidal anti-inflammatory drugs (NSAIDs). What are the primary laboratory tests the nurse will assess prior to initiation of therapy? (Select all that apply.)
 
  1. Creatine clearance
   2. Electrolytes
   3. Liver function tests
   4. Complete blood count (CBC)
   5. Serum amylase

Question 2

The nurse determines that teaching has been effective for the client with metabolic alkalosis if the client states which of the following?
 
  1. I will use only sodium bicarbonate as my antacid..
   2. I will take antacids only for my gastric discomforts..
   3. I will eat foods high in potassium while I am taking Lasix..
   4. I will restrict my intake of fluids..

[dawsa925]

Answer to Question 1

1. Creatine clearance
3. Liver function tests
4. Complete blood count (CBC)

Rationale:
It is important to assess the client's creatine clearance to determine kidney function prior to initiation of nonsteroidal anti-inflammatory drug (NSAID) therapy. It is also important to assess the client's liver function tests and complete blood count (CBC) prior to initiation of nonsteroidal anti-inflammatory drug (NSAID) therapy. There is no need to assess the client's electrolytes or serum amylase; these are not factors that are affected by nonsteroidal anti-inflammatory drugs (NSAIDs).

Answer to Question 2

3. I will eat foods high in potassium while I am taking Lasix..

Rationale:
The client on Lasix (furosemide) may lose excess potassium and dispose the client toward metabolic alkalosis. The client is taught to refrain from the use of sodium antacids when prone to metabolic alkalosis. The client should consult with the primary care provider for gastric distress rather than self medication. The client who is prone to metabolic alkalosis is likely to have fluid deficits and would not be instructed to restrict fluids.

[Davideckstein7]

TYSM

[yeungji]

Excellent