A nurse is caring for a client who has rheumatoid arthritis and has been prescribed ibuprofen (Advil).

Which of the following instructions should the nurse include in the teaching? Select all that apply.

Take ibuprofen with food or milk.

Avoid alcohol while taking ibuprofen.

Take ibuprofen on an empty stomach.

Report any signs of gastrointestinal bleeding to the healthcare provider.

Take ibuprofen with antacids.

Answer and Explanation

Correct Answer : A,B,D

The correct answer is choice A, B , and D.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastric irritation and bleeding. Therefore, the nurse should instruct the client to take ibuprofen with food or milk to reduce the risk of stomach ulcers. The nurse should also advise the client to avoid alcohol while taking ibuprofen, as alcohol can increase the risk of gastrointestinal bleeding and liver damage. Additionally, the nurse should tell the client to report any signs of gastrointestinal bleeding, such as black or tarry stools, abdominal pain, or vomiting blood, to the healthcare provider immediately.

Choice C is wrong because taking ibuprofen on an empty stomach can increase the risk of gastric irritation and bleeding.

Choice E is wrong because taking ibuprofen with antacids can reduce the effectiveness of ibuprofen and interfere with its absorption. Antacids can also cause adverse effects such as diarrhea, constipation, or electrolyte imbalance.

Therefore, the nurse should not recommend taking ibuprofen with antacids.

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Correct Answer is C

Explanation

The correct answer is choice C.The patient should remove the old patch before applying a new one to avoid overdose and adverse effects of fentanyl.Fentanyl patches are designed to deliver a constant amount of opioid analgesic over a period of time, usually 72 hours.

Therefore, changing the patch every other day (choice A) would result in inadequate pain relief and withdrawal symptoms.

Applying the patch to a hairy area (choice B) would interfere with the absorption of the drug and reduce its effectiveness.

Cutting the patch in half (choice D) would damage the integrity of the patch and cause erratic or rapid release of the drug, which could be fatal.Fentanyl patches should be applied to a clean, dry, hairless area of intact skin on the upper torso or upper arm.

A. “I should drink plenty of fluids and eat high-fiber foods to prevent constipation.” B. “I should avoid driving or operating heavy machinery while taking this medication.” C. “I should take this medication only when I have severe pain that does not respond to other drugs.” D. “I should report any signs of an allergic reaction, such as rash, itching, or difficulty breathing.”.

Correct Answer is C

Explanation

The correct answer is choice C.The client should take this medicationregularlyas prescribed to maintain a steady level of analgesia and prevent breakthrough pain.

Taking the medication only when the pain is severe can lead to inadequate pain relief and increased side effects.

Choice A is wrong because drinking plenty of fluids and eating high-fiber foods can help prevent constipation, which is a common adverse effect of opioids.

Choice B is wrong because avoiding driving or operating heavy machinery is a safety precaution for clients taking opioids, as they can cause drowsiness and impaired judgment.

Choice D is wrong because reporting any signs of allergic reaction is an important instruction for clients taking any medication, especially opioids, which can cause severe hypersensitivity reactions.

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A nurse is caring for a client who has rheumatoid arthritis and has been prescribed ibuprofen (Advil). Which of the following instructions should the nurse include in the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has been prescribed fentanyl patches for chronic cancer pain management at home. Which statement by the patient indicates that he understands how to use this medication safely?

Correct Answer is C

Explanation

A nurse is teaching a client who has cancer pain about the use of oral oxycodone with acetaminophen (Percocet). Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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A nurse is caring for a client who has rheumatoid arthritis and has been prescribed ibuprofen (Advil).

Which of the following instructions should the nurse include in the teaching? Select all that apply.