A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history information should alert the nurse to question this prescription?
1. The client has asthma.
2. The client had a similar ankle strain a year ago.
3. The client reports getting a rash when eating strawberries.
4. The client is allergic to aspirin.
5. The client reports having a peptic ulcer 6 months ago.
Correct Answer: 1,4,5
Rationale 1: Clients with asthma are more likely to have hypersensitivity to ibuprofen.
Rationale 2: There is no reason a previous injury would change the decision to prescribe ibuprofen.
Rationale 3: There is no cross-sensitivity between ibuprofen and strawberries.
Rationale 4: Clients who have an allergy to aspirin are more likely to be hypersensitive to ibuprofen.
Rationale 5: Ibuprofen increases the risk of serious gastrointestinal bleeding, especially in someone with a recent history of this problem.
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