The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication? (Select all that apply.)
a. Patient states allergy to aspirin.
b. Patient states joint pain is 2/10 and intermittent.
c. Patient reports past medical history of gastric ulcer.
d. Patient reports last bowel movement was 4 days ago.
e. Patient experiences respiratory depression after administration of an opioid medication.
ANS: A, C
NSAIDs can cause bleeding, especially in the gastrointestinal (GI) tract; therefore, NSAIDs are most likely contraindicated in this patient. Patients with an allergy to aspirin or have asthma are sometimes also allergic to other NSAIDs. The nurse needs to verify that the health care provider is aware of the history of GI bleeding and of allergy to aspirin before administering ibuprofen. NSAIDs do not interfere with bowel function and are used for the treatment of mild to moderate acute intermittent pain. NSAIDs also do not suppress the central nervous system by causing respiratory depression.
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