After teaching a client about his prescribed NSAID therapy, the ...

[abern]

After teaching a client about his prescribed NSAID therapy, the nurse determines that the teaching was successful when the client states which of the following?
 
  A) I will take the drug with high-fiber foods.
  B) I must take the drug on an empty stomach.
  C) I should take the drug with food and milk.
  D) I need to take it with a calcium supplement.

Question 2

A 60-year-old client with rheumatoid arthritis visits the health care facility for a regular checkup. The client informs the nurse that he has been using an over-the-counter NSAID for the last few days.
 
  The nurse cautions the client about the use of NSAIDs on a long-term basis because of the increased risk for which of the following?
 
  A) Ulcer disease
  B) CNS disorders
  C) Hearing impairment
  D) Blindness

[bobsmith]

Answer to Question 1

Ans: C
Feedback:
The client should take the drug with food and milk to promote an optimal response to NSAID therapy; this helps minimize the risk of GI effects. The client does not need to take an NSAID with fiber-rich food or with calcium supplements. He should not take it on an empty stomach.

Answer to Question 2

Ans: A
Feedback:
Age appears to increase the possibility of adverse reactions to NSAIDs. The risk of serious ulcer disease in adults older than 65 years is increased with higher doses of NSAIDs. CNS disorders, hearing impairment, and blindness are not effects associated with using NSAIDs on a long-term basis in older clients.