NCLEX Question of the Day

May 13, 2026

Reduction of Risk Potential QID 823

A nurse is reviewing the medication list of a client who is taking warfarin. Which of the following over-the-counter medications should the nurse instruct the client to avoid?

A:
Calcium supplements for osteoporosis prevention.
B:
Ibuprofen for chronic pain management.
C:
Loperamide for occasional diarrhea.
D:
Acetaminophen taken occasionally for a headache.

Explanation

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when taken with warfarin. The nurse should instruct the client to avoid NSAIDs and to consult with the healthcare provider before taking any over-the-counter medications. Acetaminophen is generally considered safe to take occasionally with warfarin, but chronic use or high doses should be avoided. Calcium supplements and loperamide do not have significant interactions with warfarin but should still be discussed with the healthcare provider.

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