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    ATI Maternal Newborn Proctored Exam II

    A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping.Which of the following Questions should the nurse ask prior to administering the medication?

    Explanation & Rationale

    Choice A rationaleWhile relevant to ensure no contraindications from other medications, this does not address the primary risk factors for ibuprofen, such as gastrointestinal bleeding, which is critical in postpartum clients.Choice B rationaleIbuprofen, a nonsteroidal anti-inflammatory drug, increases gastric acid secretion and reduces mucosal protection, heightening the risk of gastric ulceration or perforation, particularly in individuals with a history of gastric problems.Choice C rationaleDiscussing contraception is not an immediate concern for ibuprofen administration but is essential during postpartum care to prevent unintended pregnancies. This question diverts from assessing contraindications specific to ibuprofen.Choice D rationaleHypertension may influence the selection of postpartum pain management, but it does not directly contraindicate ibuprofen use. This focus shifts from ibuprofen’s primary adverse effects, such as gastric irritation. .

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