James Smith is a 55-year-old Caucasian man.

James Smith is a 55-year-old Caucasian man. He presents to the physician’s office today complaining of pain in his knees and hips. He has hypertension, diabetes, and generalized anxiety disorder. His medications include lisinopril20 mg every day, metformin ER 500 mg twice a day, and aspirin 81 mg every day. He has tried acetaminophen in the past to treat his joint pain, but with little relief. The physician diagnoses him with osteoarthritis and writes him a prescription for ibuprofen 800 mg every 8 hours as needed for pain. The physician has asked you, the nurse, to bring Mr. Smith the prescription. 1. What should the nurse tell Mr. Smith about taking the ibuprofen with other medications? 2. How should the nurse advise Mr. Smith to take the ibuprofen? 3. What side effect should the nurse discuss with Mr. Smith about ibuprofen?

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