A nurse is caring for a child who is allergic to penicillin.
Which prescription should the nurse verify with the provider?

Smoking, Diabetes, Atherosclerosis, and Weak pedal pulses.

Factors that contribute to poor circulation to the limb include:

• Smoking: It can cause constriction and damage to the blood vessels, leading to poor circulation.
• Diabetes: High blood sugar levels can damage blood vessels and nerves, leading to poor circulation.
• Atherosclerosis: This is a condition where plaque builds up in the arteries, narrowing them and reducing blood flow.
• Weak pedal pulses: This can be a sign of reduced blood flow to the lower extremities. A sodium-restricted diet (Choice B) is not typically associated with poor circulation.

Choice A rationale

Celecoxib, like other NSAIDs, can increase the risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Black, tarry stools can be a sign of GI bleeding.

Choice B rationale

Dry mouth is not typically associated with celecoxib use.

Choice C rationale

Polyuria, or excessive urination, is not typically associated with celecoxib use.

Choice D rationale

Bone pain is not typically a side effect of celecoxib. Celecoxib is used to relieve pain from various conditions, including osteoarthritis.