A nurse is obtaining a medication history from a client who has chronic obstructive pulmonary disease (COPD). Which of the following medications should the nurse include in the history? (Select all that apply.)

B) Correct. The nurse should instruct the client to take ibuprofen with food or milk to prevent gastric irritation, as ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal bleeding or ulcers.

A) Incorrect. Although this is a good advice, it is not the priority action for the nurse to take, as alcohol does not directly interact with ibuprofen.

C) Incorrect. The nurse should not suggest the client to switch to another medication without consulting their provider, as acetaminophen has its own risks and contraindications, such as liver toxicity.

D) Incorrect. The nurse should not tell the client to stop taking ibuprofen abruptly without consulting their provider, as this may worsen their pain and inflammation.

A) Correct. Montelukast is a leukotriene receptor antagonist that can reduce inflammation and bronchoconstriction in clients with COPD.

B) Correct. Fluticasone is an inhaled corticosteroid that can decrease airway inflammation and improve lung function in clients with COPD.

C) Incorrect. Alprazolam is a benzodiazepine that can cause respiratory depression and worsen hypoxemia in clients with COPD.

D) Incorrect. Omeprazole is a proton pump inhibitor that can treat gastroesophageal reflux disease (GERD), which may be a comorbidity of COPD, but it is not directly related to COPD management.

E) Incorrect. Acetaminophen is an analgesic and antipyretic that can relieve pain and fever, but it has no effect on COPD.