A nurse is providing teaching for an adult patient with arthritis who has been instructed to take ibuprofen (Motrin) for discomfort. Which statement by the patient indicates a need for further teaching?
a. "I may experience tinnitus with higher doses of this medication."
b. "I may take up to 800 mg 4 times daily for pain."
c. "I should limit alcohol intake to fewer than three drinks a day."
d. "I will take this medication with meals to help prevent stomach upset."
ANS: A
NSAIDs do not cause salicylism and therefore do not cause tinnitus with higher doses. The maximum dose for adults is 3200 mg/day, or 800 mg 4 times/day. Patients taking NSAIDs should be cautioned to limit alcohol intake. Taking NSAIDs with meals helps prevent GI upset.
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