Page 307 - Saunders Comprehensive Review For NCLEX-RN

be employed, the nurse must elicit
from the client the preferred forms of
spiritual expression and learn when
they are practiced so that they may be
integrated into the plan of care.
VIII. Pharmacological Interventions
A. Nonopioid analgesics
1. Nonsteroidal antiinflammatory drugs (NSAIDs) and
acetylsalicylic acid (aspirin) (Box 10-6)
a. These medication types are
contraindicated if the client has gastric
irritation or ulcer disease or an allergy
to the medication.
b. Bleeding is a concern with the use of
these medication types.
c. Instruct the client to take oral doses
with milk or a snack to reduce gastric
irritation.
d. NSAIDs can amplify the effects of
anticoagulants.
e. Hypoglycemia may result for the client
taking ibuprofen if the client is
concurrently taking an oral
antidiabetic agent.
f. A high risk of toxicity exists if the client
is taking ibuprofen concurrently with a
calcium channel blocker.
2. Acetaminophen
a. Acetaminophen, commonly known as
Tylenol, is contraindicated in clients
with hepatic or renal disease,
alcoholism, or hypersensitivity.
b. Assess the client for a history of liver
dysfunction.
c. Monitor the client for signs of hepatic
damage (e.g., nausea and vomiting,
diarrhea, abdominal pain).
d. Monitor liver function parameters.
e. Tell the client that self-medication
should not continue longer than 10
days in an adult or 5 days in a child
because of the risk of hepatotoxicity.
f. The antidote to acetaminophen is
acetylcysteine.

The major concern with acetaminophen is

307