A patient is starting celecoxib to treat osteoarthritis.
What adverse effects should the nurse instruct the patient to monitor and report?

Black tarry stools

Dry mouth

Polyuria

Bone pain

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

Choice A rationale

Bumetanide is a diuretic, which means it helps your body get rid of extra water. This can make you urinate more often. Taking the second dose at night could disrupt your sleep.

Choice B rationale

While it’s important to monitor fluid intake when taking a diuretic, there’s no specific requirement to limit fluid intake to 1.5 liters a day. Fluid needs can vary based on individual circumstances.

Choice C rationale

Bumetanide can sometimes cause hearing changes or loss, which is usually reversible once the medication is stopped. Therefore, patients should report any changes in hearing to their healthcare provider.

Choice D rationale

Bumetanide can cause the body to lose potassium, which is an important nutrient for heart function. Therefore, it’s usually recommended to consume foods high in potassium, not avoid them.

A. Take the medication with an aspirin to enhance its effectiveness. B. Taking the maximum dose will provide stroke prevention. C. Sustained-release forms can be crushed for easier administration. D. Take the medication with food.

Correct Answer is D

Explanation

Choice A rationale

Taking ibuprofen with aspirin is not typically recommended without a doctor’s advice. Both are nonsteroidal anti-inflammatory drugs (NSAIDs), and taking them together increases the risk of side effects such as stomach bleeding.

Choice B rationale

Ibuprofen is not used for stroke prevention. Aspirin, not ibuprofen, is often used for this purpose because of its antiplatelet effect.

Choice C rationale

Crushing sustained-release forms of medication is generally not recommended because it can lead to a rapid release and absorption of the drug, which increases the risk of side effects.

Choice D rationale

Taking ibuprofen with food is often recommended to reduce the risk of stomach upset.

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A patient is starting celecoxib to treat osteoarthritis.What adverse effects should the nurse instruct the patient to monitor and report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions?

Correct Answer is C

Explanation

A nurse is caring for a patient who is about to start ibuprofen therapy for hip pain. What information should the nurse provide about ibuprofen?

Correct Answer is D

Explanation

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A patient is starting celecoxib to treat osteoarthritis.
What adverse effects should the nurse instruct the patient to monitor and report?