A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
Taking the maximum dose will offer stroke prevention.
Take the medication with an aspirin to increase effectiveness.
Sustained-release forms may be crushed for easier administration.
Take the medication with food.
The Correct Answer is D
A. Taking the maximum dose will offer stroke prevention. Ibuprofen does not have stroke-preventive properties. In fact, excessive NSAID use may increase cardiovascular risks.
B. Take the medication with an aspirin to increase effectiveness. Combining ibuprofen with aspirin is not recommended as it increases the risk of gastrointestinal bleeding and does not enhance ibuprofen's effectiveness.
C. Sustained-release forms may be crushed for easier administration. Crushing sustained-release tablets alters their formulation, leading to rapid release and increased risk of side effects. Sustained-release forms should never be crushed.
D. Take the medication with food. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and ulceration. Taking it with food helps minimize gastric upset.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aggravating and alleviating factors: The patient has not identified any factors that worsen or relieve the pain.
B. Exacerbation, with associated signs and symptoms: There is no indication of exacerbating factors or associated symptoms in this description.
C. Intensity, temporal characteristics, and functional impact: The intensity (e.g., 1-10 scale), temporal characteristics (pattern over time), or functional impact on daily activities were not mentioned.
D. Location, quality, and duration. The patient described: Location: The foot and calf. Quality: "Feels like it is on fire" (neuropathic pain). Duration: Pain began yesterday.
Correct Answer is B
Explanation
A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.
B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.
C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.
D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.
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