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Runner343 Runner343
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6 years ago
An 80-year-old patient has been taking naproxen (Naprosyn) for osteoarthritis for 6 months. The patient reports adequate pain relief but complains of feeling tired. The primary care NP will order:
 
  a. liver function tests.
  b. a serum potassium level.
  c. a complete blood count (CBC).
  d. a creatinine clearance and urinalysis.
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wrote...
6 years ago
C
Elderly patients are more susceptible to the adverse effects of NSAIDs, especially slow GI bleeds leading to anemia (manifested as fatigue, lethargy). Patients complaining of fatigue should have a CBC to evaluate for anemia.
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