Which medication, if noted on a client's record with acute gastritis, should the nurse question?

Indomethacin is classified as a nonsteroidal anti-inflammatory drug (NSAID) and is known to potentially cause gastrointestinal irritation and mucosal damage. In the context of acute gastritis, which involves inflammation of the stomach lining, the use of indomethacin could exacerbate the condition, leading to increased pain, nausea, or even bleeding. Therefore, it would be prudent for the nurse to question the use of this medication for a client with acute gastritis.

In contrast, the other medications listed—digoxin, furosemide, and propranolol hydrochloride—while they may have their own side effects, do not carry the same risk of aggravating gastritis. Digoxin is primarily used for cardiac conditions, furosemide is a diuretic, and propranolol is used for managing hypertension and anxiety among other indications. None of these directly contribute to gastrointestinal irritation or inflammation in the way that indomethacin does, making it essential to reevaluate its use in a patient with acute gastritis.