The practical nurse (PN) is administering the 0900 medications to a client who was admitted during the night. Which client statement indicates that the PN should further assess the prescription?

Choice A reason: Ibuprofen, a nonsteroidal anti-inflammatory drug, inhibits prostaglandins, reducing gastric mucosal protection and increasing GI bleeding risk. Symptoms like melena or hematemesis may occur, especially with prolonged use. Monitoring for bleeding is critical to detect early complications, ensuring timely intervention to prevent severe outcomes.

Choice B reason: While ibuprofen can elevate blood pressure by affecting renal prostaglandins and sodium retention, this is less immediate than GI bleeding risk. Frequent blood pressure monitoring is relevant for long-term use but not the primary concern compared to the acute danger of GI hemorrhage.

Choice C reason: Giving ibuprofen on an empty stomach increases GI irritation, as food buffers gastric acid, reducing ulcer risk. This choice is incorrect, as it contradicts best practice, which recommends taking ibuprofen with food to minimize mucosal damage and bleeding risk.

Choice D reason: Sunblock is irrelevant to ibuprofen’s effects, as it does not cause photosensitivity. This action applies to drugs like tetracyclines, not NSAIDs. Monitoring for GI bleeding is far more critical, as ibuprofen’s primary adverse effect involves the gastrointestinal tract, not skin.

Choice A reason: Immune status is critical before administering the influenza vaccine, as immunocompromised individuals may have reduced vaccine efficacy or increased risk of adverse reactions. Conditions like HIV or chemotherapy weaken immune responses, requiring tailored vaccination strategies. Assessing immune status ensures the vaccine is safe and effective, guiding clinical decisions.

Choice B reason: While age influences vaccine type (e.g., high-dose for older adults), it is less critical than immune status for safety. Age is typically already known from records and does not directly affect immediate vaccine administration decisions. This choice is less relevant compared to immune status evaluation.

Choice C reason: Food allergies are generally irrelevant to influenza vaccines, which are not derived from food allergens. However, egg allergies may be considered for certain vaccines due to manufacturing processes, but this is distinct from food allergies broadly. This choice is incorrect as it lacks direct relevance.

Choice D reason: Gender does not impact influenza vaccine administration. Vaccine efficacy and safety are not significantly influenced by gender-specific physiological differences. This choice is incorrect, as it does not provide critical information needed to ensure the vaccine’s safety or effectiveness for the client.