A nurse is assessing a client with iron deficiency anemia. Which finding requires immediate follow-up by the nurse?

A. Ability to perform ADLs: Assessing the client’s ability to perform activities of daily living (ADLs) is the priority because osteoarthritis directly impacts functional mobility and quality of life. Pain and joint degeneration can limit self-care, and evaluating this helps guide immediate nursing interventions and care planning.

B. History of trauma: A history of trauma is relevant for understanding the etiology of secondary osteoarthritis, but it does not provide current information about the client’s functional status or immediate care needs.

C. Daily exercise routine: Exercise habits are important for managing joint health and pain, but they are secondary to assessing current functional limitations. This information helps with planning long-term interventions rather than addressing immediate priorities.

D. Family history of osteoarthritis: Family history may indicate genetic predisposition to OA, but it does not influence the client’s current functional limitations or immediate nursing priorities.

A. Muscle cramp: Muscle cramps are not a common adverse effect of celecoxib. This medication primarily affects the gastrointestinal system and cardiovascular risk rather than causing musculoskeletal cramps.

B. Dry mouth: Dry mouth is not typically associated with celecoxib use. Oral dryness is more common with medications such as antihistamines or anticholinergics, not COX-2 inhibitors.

C. Black, tarry stools: Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation, ulcers, and bleeding. Black, tarry stools may indicate gastrointestinal bleeding and require immediate medical evaluation. Monitoring for this symptom is an important safety precaution.

D. Bone pain: Celecoxib does not directly cause bone pain. Osteoarthritis itself may cause joint discomfort, but bone pain is not an expected adverse effect of this medication.