Author Question: The nurse in a rheumatology clinic is managing care for clients who receive nonsteroidal ... (Read 103 times)

WWatsford · **on:** Jun 25, 2018

The nurse in a rheumatology clinic is managing care for clients who receive nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of their disease processes.

Which are the primary laboratory tests the nurse will assess prior to initiation of this type of therapy?
Select all that apply.
A) Serum amylase
B) Electrolytes
C) Creatine clearance
D) Complete blood count (CBC)
E) Liver function tests

Question 2

The nurse is reviewing results of diagnostic testing performed on a client with increased intracranial pressure (ICP) in preparation for an evaluation to be done by the healthcare provider during morning rounds.

Which diagnostic test results should the nurse make available to the healthcare provider for review?
Select all that apply.
A) Bronchoscopy results
B) MRI result
C) Head CT scan with and without contrast
D) Electroencephalogra m
E) Complete blood count of the cerebrospinal fluid

lorealeza · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D, E

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 NSAID therapy. There is no need to assess the client's electrolytes or serum amylase; these are not factors that are affected by NSAIDs.

Answer to Question 2

Answer: B, C, D, E

Diagnosis of increased ICP is made on the basis of observation and neurologic assessment; even subtle changes can be clinically significant. Testing can include CT scan with and without contrast, MRI, electroencephalogra m, and cerebrospinal fluid evaluation. Bronchoscopy is not performed routinely for a client with increased intracranial pressure.