A client informs the nurse that he has been taking ibuprofen every 6 hours for 3 weeks to help alleviate the pain of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment of this disorder
What should the nurse instruct the client about the use of the ibuprofen? A) "You should never take ibuprofen; it can cause considerable problems."
B) "Ibuprofen is contraindicated when taking a proton pump inhibitor."
C) "It would be best to contact the physician prior to take any over-the-counter medications."
D) "Don't you know that you can cause bleeding when you take that medication so often?"
C
Feedback:
Clients should not use an over-the-counter analgesic agent, such as aspirin, ibuprofen, or acetaminophen, consistently to treat chronic pain without first consulting a physician. Ibuprofen is not contraindicated when taking a proton pump inhibitor. Option D is accusatory and not a therapeutic response.
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An ethical dilemma has arisen in regard to a patient who has been declared incompetent and who left no advance directive. Which model is likely to be of best use to the ethics committee reviewing the case?
1. Social justice 2. Patient benefit 3. Autonomy 4. Patient justice
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