A nurse in a clinic is talking with an older adult client newly diagnosed with osteoarthritis. The nurse should reinforce that which of the following medications is usually prescribed first to treat osteoarthritis?
Corticosteroid injections
Celecoxib
Acetaminophen
Ibuprofen
The Correct Answer is C
A. Corticosteroid injections:
These are typically used when pain is severe or unresponsive to oral medications, not first-line.
B. Celecoxib:
A COX-2 inhibitor, usually reserved for clients with NSAID intolerance or increased GI risk.
C. Acetaminophen:
Often the first-line treatment for mild to moderate OA pain due to its safety profile and fewer GI side effects.
D. Ibuprofen:
An NSAID, effective but carries more risk of GI bleeding and renal issues, especially in older adults. Used if acetaminophen is ineffective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cardiovascular disease:
While immobility may contribute to cardiovascular deconditioning, it is not a psychosocial impact and does not directly stem from osteoarthritis.
B. Insomnia:
May occur due to pain or discomfort, but it is often a secondary symptom and doesn’t carry the same psychosocial risk as depression.
C. Cognitive impairment:
Not directly caused by osteoarthritis or limited mobility; more commonly associated with neurologic conditions or aging.
D. Depression:
Chronic pain and limited mobility can lead to isolation and depression, especially in clients who cannot leave home. Needs further evaluation.
Correct Answer is ["125"]
Explanation
500 mL output ÷ 100 mL = 5
5 × 25 mL = 125 mL
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