Question

The nurse would question the prescription of bismuth subsalicylate (Pepto-Bismol) as an antidiarrheal medication for a client prescribed aspirin daily because of which potential adverse effect?

Answer 1

The nurse would be concerned about prescribing bismuth subsalicylate (Pepto-Bismol) to a patient already taking aspirin due to the increased risk of gastrointestinal ulcers and bleeding.

Step-by-step explanation:

The nurse would question the prescription of bismuth subsalicylate (Pepto-Bismol) as an antidiarrheal medication for a client prescribed aspirin daily because of the potential adverse effect of increased risk of gastrointestinal ulcers and bleeding. This risk arises due both to aspirin and bismuth subsalicylate, both of which can irritate the gastric mucosa, potentially leading to the development of ulcers. Aspirin, a nonsteroidal anti-inflammatory drug (NSAID), is known for its ability to prevent blood clots and reduce pain and fever but also poses an elevated risk of gastrointestinal issues, particularly when used regularly. Bismuth subsalicylate also has anti-inflammatory properties and can similarly cause gastrointestinal irritation. When combined, the effect may be compounded, leading to a higher likelihood of adverse effects like stomach bleeding.