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?


• 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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