A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?
"I will take this medication with meals to help prevent stomach upset."
"I may experience tinnitus with higher doses of this medication."
"I should stop drinking alcohol."
"I may take up to 1000 mg four times daily for pain."
The Correct Answer is B
A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
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Related Questions
Correct Answer is C
Explanation
a) Taking digoxin at bedtime is not a critical instruction. The important aspect is to take it consistently at the same time each day.
b) A diet high in bran, fiber, and calcium is not specifically related to digoxin administration. Digoxin has specific dietary considerations related to potassium levels.
c) Checking the pulse is crucial for a client taking digoxin, as it helps monitor for potential toxicity. Digoxin can cause bradycardia, and the pulse rate is an essential parameter to assess before administering each dose.
d) While monitoring the heart rate is important, setting a specific threshold (e.g., not taking digoxin if the heart rate exceeds 90 beats per minute) is not a standard recommendation. It's generally more nuanced and individualized.
Correct Answer is B
Explanation
a) Vitamin D levels may be affected by long-term glucocorticoid use, but the described symptoms are more indicative of potential glucocorticoid-related side effects, such as Cushingoid features, which warrant liver function tests.
b) Liver function tests are appropriate to assess the impact of long-term glucocorticoid use on the liver, as these medications can affect liver function.
c) Serum electrolytes are important to monitor, but the specific symptoms mentioned (full cheeks, hump of fat) are not typically associated with electrolyte imbalances.
d) A tuberculin skin test is unrelated to the observed symptoms and is not typically ordered based on the physical features described.
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