A client is being treated with blood transfusions for a large ...

[Mimi]

A client is being treated with blood transfusions for a large peptic ulcer in the duodenum. Which information in the client's history should the nurse suspect as causing this health problem?
 
  A) Allergies to penicillin and morphine sulfate
  B) History of chronic atrial fibrillation
  C) Daily medications include naproxen sodium and warfarin (Coumadin).
  D) Six weeks postoperative cataract extraction with lens implant

Question 2

A child who is hospitalized with acute glomerulonephritis experiences blurred vision and headache while in the playroom. Which action by the nurse is the most appropriate?
 
  A) Reassure the child and encourage bed rest until the headache improves.
  B) Obtain the child's blood pressure and notify the physician.
  C) Check the urine to see if hematuria has increased.
  D) Obtain serum electrolytes and send a urinalysis to the lab.

[tennis14576]

Answer to Question 1

Answer: C

Patients who are taking high doses of nonsteroidal anti-inflammatory agents (NSAIDs) such as naproxen sodium and anticoagulants such as warfarin are predisposed to developing large ulcers that do not cause pain. The first symptom the client often experiences is a significant bleeding episode. Concurrent use of NSAIDs and anticoagulants should be avoided. The allergy to penicillin and morphine sulfate, history of atrial fibrillation, and recent eye surgery are not relevant to the client's bleeding incident.

Answer to Question 2

Answer: B

Blurred vision and headache may be signs of encephalopathy, a complication of acute glomerulonephritis. The nurse should obtain a blood pressure reading and notify the physician. The physician may decide to order an antihypertensive to bring down the blood pressure. This is a serious complication, and delay in treatment could mean lethargy and seizures. Therefore, the other options (checking urine for hematuria, encouraging bed rest, and obtaining serum electrolytes) do not directly address the potential problem of encephalopathy.