A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Black, tarry stools

Dry mouth

Bone pain

Polyuria

Answer and Explanation

The Correct Answer is A

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

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Correct Answer is A

Explanation

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.

B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.

C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.

D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.

A. Autonomy B. Fidelity C. Veracity D. Beneficence

Correct Answer is A

Explanation

A. Autonomy: Respecting a client’s right to make their own decisions, including the refusal of a protein and calorie supplement, demonstrates the ethical principle of autonomy.

B. Fidelity: Fidelity involves being faithful to commitments and responsibilities, but this scenario focuses on the client’s decision-making rights rather than the nurse’s loyalty.

C. Veracity: Veracity refers to truth-telling, which is not directly related to the client refusing the supplement.

D. Beneficence: Beneficence involves acting in the client’s best interest, but forcing treatment would conflict with respecting autonomy.

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A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

Correct Answer is A

Explanation

A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

Correct Answer is A

Explanation

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

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A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?

A nurse is teaching a class about spirituality in clients who are near the end of life. Which of the following information should the nurse include?

A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?