What should the practical nurse (PN) include in the care plan for a client taking ibuprofen for arthritic pain?

The inclusion of monitoring for signs of gastrointestinal bleeding in the care plan for a client taking ibuprofen is essential due to the known side effects of nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen. This class of medication can irritate the gastrointestinal (GI) lining, leading to potential complications such as ulcers or bleeding.

Given that ibuprofen is often used for managing pain and inflammation, especially in conditions like arthritis, the nurse must be vigilant about the client's gastrointestinal status. Signs of gastrointestinal bleeding may include symptoms like abdominal pain, black or tarry stools, or vomiting blood. By observing these symptoms, the practical nurse can intervene early, which is critical for preventing more serious health issues.

This approach is a proactive measure in client care, aligning with the role of the practical nurse in assessing and monitoring the effects of prescribed medication. The emphasis on gastrointestinal health is particularly pertinent for clients who may be at higher risk due to age, concurrent medications, or a history of GI issues.