A client with peptic ulcer disease is undergoing pharmacologic therapy. After reviewing the medication administration record, the nurse suggests changing a prn pain order of ibuprofen to:
1. acetaminophen.
2. aspirin.
3. ketorolac.
4. naprosyn.
Correct Answer: 1
Rationale 1: Acetaminophen has analgesic and antipyretic qualities only. This drug should not worsen the progression of PUD.
Rationale 2: Aspirin, an NSAID, should be avoided in clients with PUD.
Rationale 3: Ketorolac, an NSAID, should be avoided in clients with PUD.
Rationale 4: Naprosyn, an NSAID, should be avoided in clients with PUD.
Global Rationale: Acetaminophen has analgesic and antipyretic qualities only. This drug should not worsen the progression of PUD. The remaining medications are NSAIDs and should be avoided in those with PUD.
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