Author Question: A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history ... (Read 69 times)

RODY.ELKHALIL · **on:** Jul 23, 2018

A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history information should alert the nurse to question this prescription?

1. The client has asthma.
2. The client had a similar ankle strain a year ago.
3. The client reports getting a rash when eating strawberries.
4. The client is allergic to aspirin.
5. The client reports having a peptic ulcer 6 months ago.

Question 2

A client presents with severe inflammation of the knee. The physician prescribes a corticosteroid and asks the client to return to the office in 10 days for follow-up. How does the nurse explain these instructions?

1. We need to check to see if this is the correct treatment.
2. We need to re-examine the knee after a few days of treatment.
3. Corticosteroids should only be taken for 1 to 3 weeks.
4. You may be able to change to an NSAID at that visit.
5. You may need a 3 month prescription for a stronger corticosteroid at that time.

laurnthompson · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,4,5
Rationale 1: Clients with asthma are more likely to have hypersensitivity to ibuprofen.
Rationale 2: There is no reason a previous injury would change the decision to prescribe ibuprofen.
Rationale 3: There is no cross-sensitivity between ibuprofen and strawberries.
Rationale 4: Clients who have an allergy to aspirin are more likely to be hypersensitive to ibuprofen.
Rationale 5: Ibuprofen increases the risk of serious gastrointestinal bleeding, especially in someone with a recent history of this problem.

Answer to Question 2

Correct Answer: 2,3,4
Rationale 1: There is no evidence that treatment is not correct.
Rationale 2: It is necessary to see if the treatment is working.
Rationale 3: Corticosteroid therapy can have serious adverse effects if taken for extended periods of time.
Rationale 4: The client should be switched to an NSAID as quickly as possible.
Rationale 5: Corticosteroid therapy should be discontinued after 13 weeks.