The nurse is caring for a patient who has been taking ibuprofen (Advil, Motrin) 800 mg TID for the last several months to relieve arthritis pain in her knees. Which assessment finding must be reported to the physician promptly?
a. The patient has abdominal pain and pale skin.
b. The patient has constipation and takes stool softeners daily.
c. The patient enjoys a glass of wine every Friday and Saturday evening.
d. The patient has gained 15 lb in the last 3 months.
ANS: A
A side effect of ibuprofen and other NSAIDs is the risk of gastrointestinal bleeding, especially with long-term use. Abdominal pain with pale skin in this patient may be indicative of a bleeding ulcer and should be reported to the physician promptly.
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