A person being seen at a health fair says, "I hurt my foot running last week and have been taking aspirin for the pain. Is that okay?" Which questions should the nurse ask before answering this question?
A person being seen at a health fair says, "I
hurt my foot running last week and have been taking aspirin for the pain. Is that okay?" Which questions should the nurse ask before answering this question?
Correct Answer: 1,2,4
Rationale 1: The risk of gastrointestinal bleeding is greater in people over age 60.
Rationale 2: The risk of gastrointestinal bleeding is greater in people who smoke.
Rationale 3: Taking vitamin C is neither a recommendation nor a contraindication for use of aspirin.
Rationale 4: Clients with gastric ulcer disease have a higher risk of gastrointestinal bleeding while taking aspirin.
Rationale 5: Being of Hispanic heritage has no impact on whether aspirin therapy is safe.
Global Rationale: The most significant adverse effect of aspirin and other NSAIDs is GI bleeding. Although the risk is dose related, even low doses of aspirin (75–325 mg/day) may double the risk of GI bleeding. Risk factors for aspirin-induced GI bleeding include history of peptic ulcers, age greater than 60, use of anticoagulants or corticosteroids, Helicobacter pylori infection, smoking, and use of alcohol. Use of vitamin C and being of Hispanic heritage are not significant determinants in the use of NSAIDs.
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