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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Screening for blood sugar levels. Secondary prevention focuses on early detection of diseases to initiate timely interventions and prevent complications. Blood sugar screening identifies individuals with prediabetes or undiagnosed diabetes.
B. Demonstrating a 15-minute exercise routine: This is a primary prevention activity aimed at reducing risk factors before the disease develops.
C. Educating about stress management strategies: Stress management education is a primary prevention strategy focused on preventing risk factors associated with diabetes.
D. Providing a cooking lesson using sugar alternatives: This is primary prevention, promoting healthy habits to prevent diabetes rather than detecting it early.
Correct Answer is D
Explanation
A. Observe the patient's facial expressions and body language for signs of discomfort: While observation is important, it doesn't provide a complete picture of the client's pain experience and may not capture all aspects, such as intensity or location.
B. Measure the patient's vital signs and note any changes: Vital signs are important but can be nonspecific indicators of pain and are not as reliable for assessing pain intensity or quality.
C. Review the patient's medical history for past pain management interventions and their outcomes: While this is useful, it does not directly address the client's current pain experience.
D. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity. A comprehensive pain assessment requires the client's self-report to fully understand the pain's characteristics. A pain scale (e.g., 0-10) helps quantify the intensity, and asking about its location, duration, and type allows for a thorough understanding of the pain's impact.
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