The nurse plans care for an older adult receiving nonsteroidal anti-inflammatory drug (NSAID) therapy. What is the best outcome for this client as it relates to side effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

1. The client will refrain from taking other medications with the nonsteroidal anti-inflammatory drug (NSAID).
2. The client will avoid the use of caffeine while taking the nonsteroidal anti-inflammatory drug (NSAID).
3. The client will report any bleeding or bruising while taking the nonsteroidal anti-inflammatory drug (NSAID).
4. The client will report any mood changes while taking the nonsteroidal anti-inflammatory drug (NSAID).


3
Rationale 1: Older adults are often on several medications, and refraining from taking them with nonsteroidal anti-inflammatory drugs (NSAIDs) is an unrealistic outcome.
Rationale 2: There is no reason for avoiding use of caffeine while using a nonsteroidal anti-inflammatory drug (NSAID).
Rationale 3: Older adults are at risk for increased bleeding with nonsteroidal anti-inflammatory drug (NSAID) therapy.
Rationale 4: Mood changes are not a side effect of nonsteroidal anti-inflammatory drug (NSAID) therapy.
Global Rationale: Older adults are at risk for increased bleeding with nonsteroidal anti-inflammatory drug (NSAID) therapy. Older adults are often on several medications, and refraining from taking them with nonsteroidal anti-inflammatory drugs (NSAIDs) is an unrealistic outcome. There is no reason for avoiding use of caffeine while using a nonsteroidal anti-inflammatory drug (NSAID). Mood changes are not a side effect of nonsteroidal anti-inflammatory drug (NSAID) therapy.

Nursing

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