A client with gastroesophageal reflux disease (GERD) is prescribed esomeprazole (Nexium). What should the nurse ensure the client understands about this medication? (Select all that apply.)
1. Take at bedtime or before breakfast.
2. Aspirin should be used for analgesia.
3. Do not smoke when taking this medication.
4. Limit alcohol intake when taking this medication.
5. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided when taking this medication.
Answer: 1, 3, 5
1. This medication should be taken at bedtime or before breakfast.
2. Aspirin should be avoided because it may interfere with healing.
3. Smoking should be avoided because it may interfere with healing.
4. Alcohol should be avoided and not just limited because it may interfere with healing.
5. NSAIDs should be avoided because they may interfere with healing.
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