Page 2075 - Saunders Comprehensive Review For NCLEX-RN

taken with insulin or an oral
hypoglycemic medication.
i. A high risk of toxicity exists if ibuprofen
is taken concurrently with calcium
channel blockers.

Adolescents and children with flu

symptoms, viral illnesses, and varicella should not
take acetylsalicylic acid because of the risk of
Reye’s syndrome.
2. Side and adverse effects (Box 59-11)

3. Interventions

a. Assess client for allergies.
b. Obtain a medication history on the
client.
c. Assess for history of gastric upset or
bleeding or liver or renal disease.
d. Assess the client for gastrointestinal
upset during medication
administration.
e. Monitor for edema.
f. Monitor the serum salicylate
(acetylsalicylic acid) level when the
client is taking high doses.
g. Monitor for signs of bleeding such as
tarry stools, bleeding gums, petechiae,
ecchymosis, and purpura.
h. Instruct the client to take the
medication with milk, or food.
i. An enteric-coated or buffered form of
acetylsalicylic acid can be taken to
decrease gastric distress.
j. Instruct the client that enteric-coated
tablets cannot be crushed or broken.
k. Clients taking acetylsalicylic acid
should sit upright for 20 to 30 minutes
after taking the dose.
l. Advise the client to inform other health
care professionals if they are taking
high doses of acetylsalicylic acid.
m. Note that acetylsalicylic acid should be
discontinued 3 to 7 days before
surgery as prescribed to reduce the
risk of bleeding.
n. Instruct the client to avoid alcoholic
beverages.

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