The client with osteoarthritis is receiving diclofenac sodium (Voltaren). The nurse would be concerned about the administration of this medication if the client's history and physical included a diagnosis of:
1. Graves' disease
2. Peptic ulcer disease
3. Coronary artery disease
4. Benign prostatic hypertrophy
2
Rationale: Diclofenac sodium (Voltaren) is a nonsteroidal anti-inflammatory drug (NSAID). It is a prostaglandin inhibitor and decreases mucous production in the stomach. Use of NSAIDs in the client with ulcer disease could place the client at risk for hemorrhage and perforation. The diagnoses in "Graves' disease," "coronary artery disease," and "benign prostatic hypertrophy" are not a concern with the use of this medication.
You might also like to view...
An older male patient taking medication for hypertension asks what else can be done to reduce the blood pressure. What measures should the nurse recommend to the patient?
A) A low-fat, low-cholesterol diet B) Deep breathing and Buerger-Allen exercises C) Weight loss and a reduction in sodium intake D) Daily low-dose aspirin and one alcoholic drink daily
When teaching a perimenopausal woman the measures for reducing the risk of osteoporosis, the nurse should emphasize the importance of: (Select all that apply.)
a. weight-bearing exercise b. maintaining a calcium intake of 700 milli-grams per day by eating calcium-rich foods and taking calcium supplements c. increasing intake of vitamin C to facilitate absorption of calcium d. avoiding the use of alcohol e. controlling diabetes f. having regular cancer screenings
The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that this drug will have a positive inotropic effect. Which result reflects this effect?
a. Increased heart rate b. Increased blood vessel dilation c. Increased force of cardiac contractions d. Increased conduction of electrical impulses across the heart
Subjective data to be included in the concept map may be collected from
a. the client's chart c. the client b. laboratory reports d. all of the above