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The nurse reviews newly prescribed laboratory tests and medications for the following clients. Which of the laboratory tests and prescriptions should the nurse question?A. Liver function tests (LFTs) for a client prescribed atorvastatinB. International normalized ratio (INR) for a client prescribed rivaroxabanC. Serum creatinine level for a client prescribed lisinoprilD. Glycosylated hemoglobin (HgbA1C) level for a client prescribed olanzapin

Question

The nurse reviews newly prescribed laboratory tests and medications for the following clients. Which of the laboratory tests and prescriptions should the nurse question?A. Liver function tests (LFTs) for a client prescribed atorvastatinB. International normalized ratio (INR) for a client prescribed rivaroxabanC. Serum creatinine level for a client prescribed lisinoprilD. Glycosylated hemoglobin (HgbA1C) level for a client prescribed olanzapin

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Solution

D. Glycosylated hemoglobin (HgbA1C) level for a client prescribed olanzapine

Explanation:

A. Liver function tests (LFTs) for a client prescribed atorvastatin: This is appropriate because atorvastatin can cause liver damage. Regular monitoring of LFTs is recommended for patients on this medication.

B. International normalized ratio (INR) for a client prescribed rivaroxaban: This is appropriate because rivaroxaban is an anticoagulant, and INR is a test that measures the time it takes for blood to clot. It is used to monitor the effectiveness of anticoagulant therapy.

C. Serum creatinine level for a client prescribed lisinopril: This is appropriate because lisinopril can affect kidney function. Serum creatinine is a test used to evaluate kidney function.

D. Glycosylated hemoglobin (HgbA1C) level for a client prescribed olanzapine: This should be questioned. Olanzapine is an antipsychotic medication and does not directly affect blood sugar levels. HgbA1C is a test used to monitor the average blood sugar over the past 2 to 3 months. It is typically used in the management of diabetes. Unless the patient has a history of diabetes or is at risk for developing diabetes, this test may not be necessary.

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