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    ATI Capstone Maternal Newborn Proctored Exam

    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 rationaleIbuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.Choice B rationaleIbuprofen use is contraindicated in individuals with gastric issues, such as peptic ulcers, as it inhibits prostaglandins, reducing mucosal protection and increasing risks of gastrointestinal perforation and bleeding.Choice C rationaleAssessing contraception use is irrelevant to ibuprofen administration because ibuprofen lacks teratogenic effects or interference with hormonal contraception and poses no pregnancy-related risks at therapeutic doses.Choice D rationaleWhile ibuprofen can elevate blood pressure via prostaglandin inhibition, this is secondary and less clinically significant compared to immediate concerns like drug interactions or gastric side effects.

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