An older adult with rheumatoid arthritis is taking ibuprofen (Advil) daily. calls the physician to question the appropriateness of this medication order instructions are most important for the nurse to provide to ensure the expected outcomes for this client.
DIF: Cognitive Level: Understanding REF: p. 348
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Pharmacological and Parenteral Therapy
Rheumatoid arthritis is characterized by periods of remission and exacerbation some drugs used in young adults, such as meperidine (Demerol), are always contraindicated in older (Advil) people. Demerol metabolites can cause confusion, psychotic behavior, and seizures. The rest of the options are not inappropriate, except those related to inappropriate drug administration.
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