A nurse is caring for a client who is receiving ibuprofen for arthritis pain.
The nurse should monitor the client for which of the following adverse effects of the medication?

This is a sign oftinnitus, which is a common adverse effect of ibuprofen.Tinnitus can indicatesalicylism, a condition caused by excessive intake of salicylates, such as ibuprofen.Salicylism can also causefever, diaphoresis, nausea, and dizziness.

Choice B is wrong because “I have trouble sleeping at night.” is not a typical adverse effect of ibuprofen. It may be related to other factors, such as pain, stress, or caffeine intake.

Choice C is wrong because “I have dry mouth and thirst.” is not a typical adverse effect of ibuprofen. It may be related to dehydration, diabetes, or other medications.

Choice D is wrong because “I have blurred vision and headache.” is not a typical adverse effect of ibuprofen. It may be related to eye strain, migraine, or high blood pressure.

Some other serious side effects of ibuprofen that need immediate medical attention include:asthma, wheezing and shortness of breath; swelling of the face, lips or tongue, which may cause difficulty breathing or swallowing; black poo or blood in your vomit, which can be signs of bleeding in your stomach; swollen ankles, blood in your pee or not peeing at all, which can be signs of a kidney problem.

The nurse should take the following actions when administering acetaminophen to a client who has a fever:

• Check the client’s liver function testsbecause acetaminophen can cause hepatotoxicity and liver damage, especially in clients who have preexisting liver disease or who take high doses of the medication.

• Assess the client’s pain levelbecause acetaminophen is also an analgesic that can reduce pain and discomfort associated with fever.

• Monitor the client’s fluid intake and outputbecause fever can cause dehydration and fluid loss, and acetaminophen can also affect renal function and urine output.

• Ask the client about any history of alcohol usebecause alcohol can increase the risk of liver damage from acetaminophen, and clients who consume more than three alcoholic drinks per day should avoid taking acetaminophen.

Choice E is wrong because grapefruit juice does not interact with acetamin