A client prescribed 81 mg of aspirin (ASA) daily following a myocardial infarction (MI) asks the nurse why the baby dose of ASA is prescribed. Which response by the nurse is the most appropriate?
1. "This low dose is effective and causes less GI bleeding."
2. "This is all the ASA you need right now."
3. "The lower dose is much more economical, because you will need to take this throughout your life."
4. "High doses of ASA do not prevent recurrences of an MI."
Correct Answer: 1
Rationale 1: The low dose of ASA (75–150 mg) used for maintenance therapy reduces the common side effects of GI distress and bleeding.
Rationale 2: Although this dose of ASA is all the client needs right now, this answer does not provide the best explanation.
Rationale 3: A lower dose is not given for economical reasons.
Rationale 4: High doses of ASA do prevent recurrent MI, although they have more side effects.
Global Rationale: The low dose of ASA (75–150 mg) used for maintenance therapy reduces the common side effects of GI distress and bleeding. Although this dose of ASA is all the client needs right now, this answer does not provide the best explanation. A lower dose is not given for economical reasons. High doses of ASA do prevent recurrent MI, although they have more side effects.
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