Prepare effectively for the Multidimensional Care II Exam 2. Engage with multiple choice questions, detailed explanations, and useful study tips to ensure success!

Multiple Choice

Which statement would require nursing teaching?

The key idea is that patients need education on safe use of NSAIDs like ibuprofen, because these medications can cause stomach irritation, kidney problems, and interact with other medicines or medical conditions. When a patient says “my doctor told me to take ibuprofen for my aches and pain,” it signals a teaching moment: the nurse should provide guidance on how to use it safely. This includes how much to take and how often (the lowest effective dose, with the first dose at the full amount needed for relief and no more than the recommended daily maximum), taking it with food to protect the stomach, and not taking other NSAIDs or alcohol that could compound side effects. It also involves discussing situations that require caution or avoidance—such as a history of stomach ulcers, kidney disease, high blood pressure, liver disease, or pregnancy—along with potential drug interactions (like anticoagulants, certain antidepressants, or steroids). The nurse should also teach signs of trouble to watch for (persistent stomach pain, dark stools, reduced urine, swelling, or rash) and when to contact a healthcare provider. Other statements imply extremes or unrelated concerns (completely avoiding NSAIDs, using ibuprofen without limits, or non-relevant post-meal positioning), but they don’t address the safety behaviors a nurse must ensure for someone using ibuprofen.

The key idea is that patients need education on safe use of NSAIDs like ibuprofen, because these medications can cause stomach irritation, kidney problems, and interact with other medicines or medical conditions. When a patient says “my doctor told me to take ibuprofen for my aches and pain,” it signals a teaching moment: the nurse should provide guidance on how to use it safely. This includes how much to take and how often (the lowest effective dose, with the first dose at the full amount needed for relief and no more than the recommended daily maximum), taking it with food to protect the stomach, and not taking other NSAIDs or alcohol that could compound side effects. It also involves discussing situations that require caution or avoidance—such as a history of stomach ulcers, kidney disease, high blood pressure, liver disease, or pregnancy—along with potential drug interactions (like anticoagulants, certain antidepressants, or steroids). The nurse should also teach signs of trouble to watch for (persistent stomach pain, dark stools, reduced urine, swelling, or rash) and when to contact a healthcare provider.

Other statements imply extremes or unrelated concerns (completely avoiding NSAIDs, using ibuprofen without limits, or non-relevant post-meal positioning), but they don’t address the safety behaviors a nurse must ensure for someone using ibuprofen.