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 C

Explanation

A. "I will review my actions at the end of the day in the team huddle.": While team reflection is valuable, addressing personal biases requires individual introspection beyond group discussions.

B. "I should treat all patients the same way to avoid favoritism and ensure fairness.": Treating all patients identically may overlook individual needs and perpetuate bias by failing to address unique vulnerabilities.

C. "I will reflect on my responses and thoughts when meeting new clients." Self-reflection is a key strategy for identifying and addressing personal biases, ensuring that care is equitable and patient-centered.

D. "I believe that my professional training is sufficient, so personal biases will not affect my care.": Professional training does not automatically eliminate personal biases. Active reflection is necessary.

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. B. Review the client's current medication list and check for any missed doses. C. Focus on the client's most recent laboratory results and compare them to past results. D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness.

Correct Answer is A

Explanation

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.

B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.

C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.

D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.

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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

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Correct Answer is A

Explanation

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