The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

Choice A reason: Pain of 4/10 indicates a need for analgesia, and ibuprofen is appropriate for mild to moderate pain. This does not warrant holding the medication, as it aligns with the drug’s therapeutic purpose. Choice B reason: Respiratory depression from opioids is unrelated to ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID). While concerning, it does not contraindicate ibuprofen administration, though it requires separate intervention for opioid toxicity. Choice C reason: A bowel movement 2 days ago suggests mild constipation, not a contraindication for ibuprofen. While NSAIDs can cause gastrointestinal irritation, this finding alone does not justify holding the medication without further symptoms. Choice D reason: A history of gastric ulcer is a contraindication for ibuprofen, an NSAID that inhibits prostaglandins, reducing gastric mucosal protection. This increases the risk of ulcer reactivation or bleeding, necessitating withholding the medication.