A client with chronic renal failure informs the nurse that he frequently uses over-the-counter medications to manage headaches. The nurse's best response should be:

Question

1. "As long as you don't exceed the recommended dose, it is okay."
2. "It would be better to use herbal supplements than most over-the-counter analgesics."
3. "You should check with your primary care provider before using any over-the-counter medications."
4. "The FDA ensures that all over-the-counter medications are safe to consume."

Answer 1

Answer: 3

1. Some over-the-counter medications are contraindicated in liver and renal disease, even when taken at recommended doses.
2. Herbal supplement safety and effectiveness are not regulated, and they can be contraindicated in certain disease states as well.
3. The client should be instructed to contact the primary care provider before using any over-the-counter medication because some are contraindicated in renal disease.
4. The FDA safety approval does not impact the client's response to the medication.