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 D
Explanation
A. "Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background." Cultural competence requires an individualized approach tailored to the client's cultural values, beliefs, and practices, not a standardized method.
B. "Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care." Nurses should respect and incorporate cultural practices into care when possible, but they are not required to adopt these practices themselves.
C. "Cultural competence is only necessary when caring for clients from cultures that are significantly different from one's own." Cultural competence is essential for all clients, as cultural beliefs can influence health perceptions, even in those with similar backgrounds.
D. "Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction." This accurately reflects the essence of cultural competence in nursing practice.
Correct Answer is A
Explanation
A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.
B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.
C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.
D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.
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