A client is prescribed celecoxib for joint pain. What statement by the client indicates a need for further teaching?

I’ll report any signs of bleeding or bruising to my primary health care provider.

I’ll take this drug only as prescribed by my primary health care provider.

I’ll be sure to take this drug three times a day only on an empty stomach.

I’ll monitor the amount of urine that I excrete every day and report any changes.

Answer and Explanation

The Correct Answer is C

Choice A reason: Celecoxib, a COX-2 inhibitor, can increase bleeding risk by inhibiting platelet aggregation. Reporting signs of bleeding or bruising is critical, as it may indicate gastrointestinal or systemic bleeding, a known adverse effect. This statement shows appropriate understanding of monitoring for serious side effects.
Choice B reason: Taking celecoxib only as prescribed ensures adherence to the recommended dose and schedule, minimizing risks like gastrointestinal irritation or cardiovascular events. This statement reflects correct understanding of the importance of following medical guidance to optimize safety and efficacy.
Choice C reason: Celecoxib is typically taken once or twice daily, and it can be taken with or without food. Taking it three times daily on an empty stomach is incorrect and may increase gastrointestinal irritation, indicating a need for further education on proper dosing and administration.
Choice D reason: Monitoring urine output is relevant, as celecoxib can cause renal toxicity, leading to decreased urine output or acute kidney injury. This statement shows appropriate awareness of the need to monitor for renal side effects, which is critical for safe use.

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Correct Answer is D

Explanation

Choice A reason: Notifying the doctor before taking other medications is correct, as phenytoin interacts with many drugs (e.g., warfarin) via liver enzyme induction (CYP450), altering drug levels. This shows understanding of the need to prevent adverse interactions.
Choice B reason: Scheduling a dental appointment is appropriate, as phenytoin causes gingival hyperplasia due to fibroblast proliferation. Regular dental care prevents gum overgrowth complications, indicating the client understands this side effect and its management.
Choice C reason: Not switching phenytoin brands is correct, as different formulations may have varying bioavailability, affecting seizure control. Consistent branding ensures stable drug levels, reflecting the client’s understanding of maintaining therapeutic efficacy.
Choice D reason: Stating a desire to stop phenytoin suggests a misunderstanding, as seizures often require lifelong antiepileptic therapy to prevent recurrence. Abrupt cessation can cause rebound seizures due to unopposed neuronal excitability, indicating a need for further education.

A. Absence. B. Akinetic. C. Myoclonic. D. Complex partial.

Correct Answer is A

Explanation

Choice A reason: Absence seizures involve brief episodes of staring into space, often with subtle blinking or lip smacking, lasting 5–20 seconds. Common in children, they impair attention, leading to poor school performance, as the brain’s electrical activity briefly disrupts consciousness without motor convulsions.
Choice B reason: Akinetic seizures involve sudden loss of muscle tone, causing falls or head drops, not staring spells. They do not typically affect school performance through inattention, as they are brief and motor-focused, not cognitive disruptions.
Choice C reason: Myoclonic seizures cause sudden, brief muscle jerks, often in the arms or legs, without loss of consciousness. They differ from staring spells and are less likely to directly impact school performance through inattention or cognitive lapses.
Choice D reason: Complex partial seizures involve altered consciousness with automatisms (e.g., lip smacking, picking at clothes), not just staring. They are less common in children and typically cause more

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A client is prescribed celecoxib for joint pain. What statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

Correct Answer is A

Explanation

The primary health care provider prescribes methotrexate for a client with a new diagnosis of rheumatoid arthritis. The nurse provides health teaching about the drug. What statement by the nurse is appropriate to include about methotrexate?

A client is getting out of bed into a chair for the first time after an uncemented total hip arthroplasty. What action by the nurse is appropriate?

The nurse assesses a client after a total hip arthroplasty. The client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While a co-worker calls the surgeon, what action by the nurse is appropriate?

The nurse assesses a client with long-term rheumatoid arthritis (RA) for late signs and symptoms. Which assessment findings will the nurse document as late signs and symptoms of RA? (Select all that apply)

Why are infants more susceptible to otitis media?

On entering the room of a child in Buck’s traction, the nurse makes all of the following observations. Which observation requires a nursing intervention?

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client’s plan of care?

What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?