The elderly client has gastrointestinal bleeding. The client says to the nurse "I don't understand this. All I did was take ibuprofen (Advil) for my arthritis." Which plan would be best as it relates to the nurse's education of this client?
1. A plan to teach the client to use drugs that bypass the gastrointestinal system, like topical drugs
2. A plan to teach the client to substitute safer drugs like acetaminophen (Tylenol)
3. A plan to teach the client to obtain physician approval prior to the use of over-the-counter (OTC) medications
4. A plan to teach the advantages and disadvantages of ibuprofen (Advil)
Correct Answer: 4
Rationale: Since elderly clients account for the use of about 40% of all over-the-counter (OTC) medications, it is essential for the nurse to teach clients about the advantages, and the disadvantages, of these medications. Substitution of other drugs may be beneficial, but this cannot be done in all situations. The use of topical drugs may be an option, but the drug a client needs may not be available in this form. It is not a realistic plan to expect clients to contact their physician prior to taking any over-the-counter (OTC) medication.
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