Nokea
A nurse is performing discharge teaching for a client who is prescribed ibuprofen. After teaching the client about the possible cardiovascular effects of the drug, the nurse determines that additional teaching is needed when the client states which of the following?
- A. My blood pressure may increase.
- B. My blood pressure won't change.
- C. I could develop congestive heart failure.
- D. I could experience a heart attack.
Correct Answer: B
Rationale: The client should be counseled that NSAIDs including ibuprofen may result in the following cardiovascular effects: increased or decreased blood pressure, congestive heart failure, cardiac arrhythmias, and myocardial infarction.
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A client who is receiving ibuprofen asks the nurse, 'What should I take the drug with?' Which of the following would the nurse suggest in the response? Select all that apply.
- A. Milk
- B. Orange juice
- C. Food
- D. Clear liquids
- E. Antacids
Correct Answer: A,C,E
Rationale: The nurse should advise the patient to take ibuprofen (Motrin) with food, milk, or antacids.
A nursing instructor is preparing a class discussion on the use of NSAIDs and interactions with other drugs. The instructor would emphasize that the effects of which of the following can increase with NSAID therapy? Select all that apply.
- A. Lithium
- B. Cyclosporine
- C. Furosemide
- D. Lisinopril
- E. Phenytoin
Correct Answer: A,B,E
Rationale: The use of NSAIDs can increase the effectiveness of lithium, cyclosporine, and phenytoin, possibly leading to toxicity.
A nurse is preparing to administer NSAID therapy to a client. The nurse would be alert to a decrease in the effectiveness of which drug if given together? Select all that apply.
- A. Lithium
- B. Cyclosporine
- C. Furosemide
- D. Lisinopril
- E. Phenytoin
Correct Answer: C,D
Rationale: The use of NSAIDs can decrease the effectiveness of furosemide and lisinopril, possibly leading to increased edema or increased blood pressure.
A nurse is reviewing the medical records of several clients. In which of the following clients would the nurse identify that the use of an NSAID would be contraindicated? Select all that apply.
- A. A female client who is lactating
- B. A female client with a hypersensitivity to aspirin
- C. A female client in the first trimester of pregnancy
- D. A female client in the second trimester of pregnancy
- E. A female client in the third trimester of pregnancy
Correct Answer: A,B,E
Rationale: NSAIDs are contraindicated in clients with a hypersensitivity to aspirin. In general, NSAIDs are contraindicated during the third trimester of pregnancy (because they can induce labor) and during lactation.
A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply.
- A. Oliguria
- B. Dysuria
- C. Hematuria
- D. Glucosuria
- E. Polyuria
Correct Answer: A,B,C,E
Rationale: Clients receiving NSAIDs should be monitored for the following renal adverse effects: polyuria, dysuria, oliguria, hematuria, eystitis, elevated BUN, and acute renal failure.