Author Question: The nurse is managing care for clients who will receive ibuprofen (Advil) for long term therapy. ... (Read 53 times)

justinmsk · **on:** Jul 23, 2018

The nurse is managing care for clients who will receive ibuprofen (Advil) for long term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?

1. Electrolytes
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
5. Serum amylase

Question 2

The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?

1. Constipation is common; include roughage in your diet.
2. Drink at least eight glasses of water a day.
3. Take your medication with food.
4. Take your medication on an empty stomach.

mathjasmine · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2,3,4
Rationale 1: There is no specific reason to monitor the clients' electrolytes.
Rationale 2: Ibuprofen may result in a decrease in hemoglobin and hematocrit. Baseline levels should be documented.
Rationale 3: Ibuprofen may increase bleeding times. Baseline values should be documented.
Rationale 4: AST and ALT may be increased so it is important to document baseline levels.
Rationale 5: It is not necessary to draw baseline serum amylase levels.

Answer to Question 2

Correct Answer: 2
Rationale 1: Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDS).
Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDS) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage.
Rationale 3: Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority.
Rationale 4: Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.