A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history information should alert the nurse to question this prescription?
1. The client has asthma.
2. The client had a similar ankle strain a year ago.
3. The client reports getting a rash when eating strawberries.
4. The client is allergic to aspirin.
5. The client reports having a peptic ulcer 6 months ago.
1,4,5
Rationale 1: Clients with asthma are more likely to have hypersensitivity to ibuprofen.
Rationale 2: There is no reason a previous injury would change the decision to prescribe ibuprofen.
Rationale 3: There is no cross-sensitivity between ibuprofen and strawberries.
Rationale 4: Clients who have an allergy to aspirin are more likely to be hypersensitive to ibuprofen.
Rationale 5: Ibuprofen increases the risk of serious gastrointestinal bleeding, especially in someone with a recent history of this problem.
Global Rationale: Clients with asthma are more likely to have hypersensitivity to ibuprofen. Clients who have an allergy to aspirin are more likely to be hypersensitive to ibuprofen. Ibuprofen increases the risk of serious gastrointestinal bleeding, especially in someone with a recent history of this problem. There is no reason a previous injury would change the decision to prescribe ibuprofen. There is no cross-sensitivity between ibuprofen and strawberries.
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