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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The correct answer is choice A, B, and C. These are all liver enzymes that can indicate hepatotoxicity (liver damage) from acetaminophen overdose.
The normal ranges for these enzymes are:
• AST: 10 to 40 U/L
• ALT: 7 to 56 U/L
• ALP: 45 to 115 U/L
Choice D and E are wrong because they are indicators of renal function, not liver function.
The normal ranges for these values are:
• BUN: 7 to 20 mg/dL
• Creatinine: 0.6 to 1.2 mg/dL
Correct Answer is B
Explanation
The correct answer is choice B.Methadone blocks the euphoric effects of heroin and discourages its use.Methadone is a synthetic opioid analgesic that produces a cross-tolerance to other narcotics, thereby preventing the user from feeling the high of heroin.Methadone also reduces withdrawal symptoms and cravings for heroin.
Choice A is wrong because methadone does not prevent withdrawal symptoms, but rather reduces them.
Choice C is wrong because methadone does not stimulate opioid receptors, but rather occupies them and blocks their activation by heroin.
Choice D is wrong because methadone does not reverse the respiratory depression caused by heroin overdose, but rather carries a risk of overdose itself.
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