A patient with a history of congestive heart failure is prescribed naproxen for the treatment of rheumatoid arthritis. The nurse should instruct the patient to report which of the following symptoms?

Edema
Weight gain

Explanation

• Fluid retention and edema is a major concern with NSAIDs, especially in patients with cardiovascular compromise such as heart failure. Such patients can have a significant deterioration of hemodynamic function. Patients should report any signs of weight gain, edema, and fluid retention.

• Constipation and diarrhea are common side effects of NSAID use; reporting them to the health care provider is unnecessary.

• Weight loss is not generally associated with NSAID use.

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