Kaplan NCLEX Practice Question of the Day

The nurse prepares to administer the prescribed aspirin to a client. Which client conditions cause the nurse to hold the medication? (Select all that apply.)

The client has a history of being in multiple alcohol treatment programs.

The client is receiving heparin for the presence of deep vein thrombosis.

The client experiences severe pain related to a diagnosis of osteoarthritis.

The client takes an oral hypoglycemic for treatment of type 2 diabetes mellitus.

The client has a recent history of a respiratory infection and elevated temperature.

Correct

Incorrect

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CORRECT - Aspirin is a possible cause of gastric discomfort and is an increased risk for the development of gastric ulcers. With a history of alcoholism and multiple treatment events, this client is already at risk for gastric ulcers. The nurse will hold the aspirin for this client.
CORRECT - Aspirin is contraindicated for clients receiving anticoagulant drugs, such as heparin or warfarin. Aspirin is known to have significant anticoagulant activity and will increase a client's bleeding time. The nurse should hold the aspirin for this client.
Aspirin is known to be effective for the pain and inflammation related to osteoarthritis. The nurse will not hold the aspirin prescribed for this client.
CORRECT - Aspirin may potentiate the action of oral hypoglycemic drugs given for type 2 diabetes mellitus. Therefore, the aspirin should be held to avoid causing hypoglycemia.
Aspirin is effective in treating the pain and discomfort associated with a respiratory infection, and produces mild to moderate relief of fever. The nurse will not hold the aspirin prescribed for this client.

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