A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?
Acetaminophen
Celecoxib
Ibuprofen
Cyclobenzaprine
Correct Answer : A,B,C
Acetaminophen is commonly used for pain relief in osteoarthritis. It is recommended for clients who have mild to moderate pain. It does not reduce inflammation but can be effective in managing pain without the gastrointestinal side effects associated with NSAIDs.
Choice B reason:
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that is specifically a COX-2 inhibitor. It is used to reduce pain and inflammation in osteoarthritis. Celecoxib can be a good option for those who need an anti-inflammatory and may have a lower risk of gastrointestinal bleeding compared to other NSAIDs.
Choice C reason:
Ibuprofen, another NSAID, is effective in reducing the inflammation and pain associated with osteoarthritis. It is available over the counter and can be used for short-term pain management, but it should be used cautiously due to potential side effects, including gastrointestinal bleeding and cardiovascular risks.
Choice D reason:
Cyclobenzaprine is a muscle relaxant and is not typically used as a first-line treatment for osteoarthritis. It may be prescribed in cases where muscle spasms are present, but it does not directly address the joint pain or inflammation caused by osteoarthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Dyspepsia, commonly known as indigestion, is not typically associated with SIADH. It is a condition characterized by chronic or recurrent pain in the upper abdomen and is not linked to the overproduction of antidiuretic hormone.
Choice B reason:
Osteoarthritis is a degenerative joint disease and does not cause SIADH. It is characterized by the breakdown of joint cartilage and underlying bone, most commonly from middle age onward, causing pain and stiffness, especially in the hip, knee, and thumb joints.
Choice C reason:
Liver cirrhosis can lead to complications that may contribute to fluid imbalance, but it is not a direct cause of SIADH. SIADH is more commonly associated with conditions that affect the central nervous system or certain types of cancer.
Choice D reason:
Lung cancer, particularly small cell lung cancer, is a well-known cause of SIADH. Tumors in the lungs can produce and release antidiuretic hormone independently, leading to the syndrome of inappropriate antidiuretic hormone secretion.
Correct Answer is B
Explanation
Choice A reason:
The statement "This procedure is routinely performed during a Pap test" is incorrect. A colposcopy is not routinely performed during a Pap test; it is a separate procedure that is often recommended if a Pap test shows abnormal results. The colposcopy allows for a closer examination of the cervix, vagina, and vulva to detect any signs of disease.
Choice B reason:
The statement "During the procedure, a biopsy may be performed" is correct. If the healthcare provider sees an area of concern during the colposcopy, they may take a small sample of tissue (biopsy) from the cervix or from inside the opening of the cervix.
Choice C reason:
The statement "Do not eat or drink after midnight tonight" is not necessary for a colposcopy. Unlike some surgical procedures that require general anesthesia, a colposcopy is usually done with local anesthesia, and fasting is not required.
Choice D reason:
The statement "You will have general anesthesia during this procedure" is incorrect. General anesthesia is not typically used for a colposcopy. The procedure may cause some discomfort, but it is usually performed using local anesthesia or no anesthesia at all.
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