Which instructions should be included as part of medication teaching for a client who has been started on a nonsteroidal anti-inflammatory drug (NSAID)?
Standard Text: Select all that apply.
1. "Take this medication at least 2 hours after eating."
2. "Be watchful for a yellow, grainy material if you vomit."
3. "If you start experiencing light-headedness, call the office for instructions."
4. "You should avoid alcohol while taking this medication."
5. "You will know that you are taking enough of the drug when your stools take on a dark color."
Correct Answer: 3,4
Rationale 1: NSAIDs should be taken with food or milk.
Rationale 2: Bleeding into the stomach results in coffee-ground vomitus.
Rationale 3: Light-headedness may indicate that the client is bleeding and not getting enough oxygen to the brain.
Rationale 4: Alcohol use should be avoided or eliminated when the client is taking an NSAID.
Rationale 5: Dark, tarry stools are an indication that there is bleeding in the gastrointestinal tract and that the NSAID should be discontinued.
Global Rationale: Teaching should include instructing the patient to immediately report any signs or symptoms of GI bleeding such as darkening of the stool or coffee-ground emesis. The patient should be taught to take the drug with food or milk to decrease GI irritation and to immediately report any signs or symptoms of ringing, humming, buzzing in ears, difficulty with balance, dizziness or vertigo, or nausea.
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