A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Black, tarry stools

Dry mouth

Bone pain

Polyuria

Answer and Explanation

The Correct Answer is A

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

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Correct Answer is C

Explanation

A. Language barriers: While language barriers can impact healthcare access and understanding, they are not as globally impactful as poverty.

B. Transportation access: Limited transportation access can affect healthcare access but does not encompass the broad, systemic impacts of poverty.

C. Poverty. Poverty is a primary social determinant of health that affects access to healthcare, nutrition, education, and safe living conditions, significantly increasing the risk of negative health outcomes.

D. Genetics: Although genetics influence individual health, they are not a social determinant of health.

A. "I promise I won't tell anyone about this." B. "Your family is bad for doing this to you." C. "Let's discuss what happened with your family here." D. "It is not your fault that this happened."

Correct Answer is D

Explanation

A. "I promise I won't tell anyone about this." This is incorrect because nurses are mandated reporters and must report abuse to appropriate authorities. Promising confidentiality is misleading and violates legal obligations.

B. "Your family is bad for doing this to you." Making judgmental statements about the family can hinder the therapeutic relationship and may increase the child’s stress or feelings of loyalty conflict.

C. "Let's discuss what happened with your family here." Discussing abuse in the presence of the family may put the child at risk for retaliation and discourage open communication.

D. "It is not your fault that this happened." This statement reassures the child and helps mitigate feelings of guilt or shame that are common in abuse victims. It is supportive, nonjudgmental, and developmentally appropriate, fostering trust and safety.

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A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?

Correct Answer is C

Explanation

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

Correct Answer is D

Explanation

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