Which of the following clients likely faces the greatest risk of a gastrointestinal bleed?
A) A man whose hypertension requires him to take a diuretic, an ACE inhibitor, and a ?-adrenergic blocker
B) A client who is taking a broad-spectrum antibiotic to treat a urinary tract infection
C) A client with a history of anxiety who takes benzodiazepines several times daily
D) A client who takes aspirin with each meal to control symptoms of osteoarthritis
Ans: D
Feedback:
The gastric mucosa can be easily damaged by drugs such as aspirin, resulting in local ischemia, vascular stasis, hypoxia, and tissue necrosis. Antihypertensives, diuretics, antibiotics, and benzodiazepines do not pose such a significant threat to the integrity of the gastric mucosa.
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