An adolescent female has dysmenorrhea associated with heavy ...

[shenderson6]

An adolescent female has dysmenorrhea associated with heavy menstrual periods. The patient's provider has recommended ibuprofen (Motrin). When teaching this patient about this drug, the nurse will tell her that ibuprofen
 
  a. may decrease the effectiveness of oral contraceptive pills.
  b. may increase bleeding during her period.
  c. should be taken on an empty stomach to increase absorption.
  d. will decrease the duration of her periods.

Question 2

The parent of a 5-year-old child asks the nurse to recommend an over-the-counter pain medication for the child. Which analgesic will the nurse recommend?
 
  a. Acetaminophen (Tylenol)
  b. Aspirin (Ecotrin)
  c. Diflunisal (Dolobid)
  d. Ibuprofen (Motrin)

[blakeserpa]

Answer to Question 1

ANS: B
When nonsteroidal antiinflammatory drugs (NSAIDs) are used to treat dysmenorrhea, excess bleeding may occur during the first 2 days of a period. NSAIDs do not decrease the effect of OCPs. NSAIDs are irritating to the stomach, so patients should take with food or a full glass of water. NSAIDs will not decrease the duration of periods.

Answer to Question 2

ANS: A
Acetaminophen is safe to give children and does not cause gastrointestinal upset or interfere with platelet aggregation. Aspirin carries an increased risk of Reye's syndrome in children. Diflunisal (Dolobid) is not available over the counter.

[shenderson6]

TYSM

[kthug]

Excellent