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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Instruct the family about anticipatory grieving: While anticipatory grieving is important, it is better addressed after the family has had time to express initial feelings.
B. Explore effective ways of family coping: This is important but should come after encouraging the family to process their immediate feelings.
C. Encourage the family’s expression of their feelings. The first priority is to allow the family to express their emotions and begin the grieving process. Encouraging emotional expression helps the family cope with the overwhelming news and facilitates their emotional support needs.
D. Discuss the disease and its manifestations with family members: While understanding the disease is essential, focusing on the family's emotional response is more critical at this initial stage of shock and grief.
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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