A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
A.
Blurred vision
B.
Constipation
C.
Bleeding
D.
Insomnia
The correct answer and Explanation is :
The correct answer is C. Bleeding.
Explanation
Aspirin is commonly prescribed for its anti-inflammatory and analgesic properties, particularly in conditions like rheumatoid arthritis. However, it is important for patients and caregivers to be aware of potential adverse effects associated with aspirin use.
Bleeding is a notable concern with aspirin therapy due to its antiplatelet effects. Aspirin works by inhibiting the enzyme cyclooxygenase (COX), which plays a key role in the production of thromboxane A2, a substance that promotes platelet aggregation and blood clotting. By inhibiting COX, aspirin reduces the ability of platelets to clump together, thereby decreasing the likelihood of clot formation. While this is beneficial in preventing cardiovascular events like heart attacks and strokes, it also increases the risk of bleeding.
Patients on aspirin therapy should be monitored for signs of bleeding, which can include:
- Gastrointestinal bleeding: Symptoms may include black or tarry stools, blood in vomit, or stomach pain.
- Easy bruising: Patients may notice unexplained bruises or bleeding from minor injuries.
- Excessive bleeding: This may manifest as prolonged bleeding from cuts or nosebleeds.
While blurred vision, constipation, and insomnia can occur with various medications, they are not commonly associated with aspirin use for rheumatoid arthritis.
- Blurred vision is not a typical side effect of aspirin and might be related to other conditions or medications.
- Constipation is not commonly linked to aspirin; it is more associated with opioids or certain antacids.
- Insomnia is not a known side effect of aspirin, and if present, it could be related to other factors or medications.
In summary, monitoring for bleeding is crucial when taking aspirin, especially for individuals on long-term therapy or those with a history of gastrointestinal issues. Regular check-ups and prompt reporting of any unusual symptoms to a healthcare provider can help manage and mitigate these risks effectively.