A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?
Acetaminophen
Celecoxib
Ibuprofen
Cyclobenzaprine
Correct Answer : A,B,C
Acetaminophen is commonly used for pain relief in osteoarthritis. It is recommended for clients who have mild to moderate pain. It does not reduce inflammation but can be effective in managing pain without the gastrointestinal side effects associated with NSAIDs.
Choice B reason:
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that is specifically a COX-2 inhibitor. It is used to reduce pain and inflammation in osteoarthritis. Celecoxib can be a good option for those who need an anti-inflammatory and may have a lower risk of gastrointestinal bleeding compared to other NSAIDs.
Choice C reason:
Ibuprofen, another NSAID, is effective in reducing the inflammation and pain associated with osteoarthritis. It is available over the counter and can be used for short-term pain management, but it should be used cautiously due to potential side effects, including gastrointestinal bleeding and cardiovascular risks.
Choice D reason:
Cyclobenzaprine is a muscle relaxant and is not typically used as a first-line treatment for osteoarthritis. It may be prescribed in cases where muscle spasms are present, but it does not directly address the joint pain or inflammation caused by osteoarthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is: d. Hypoglycemia
Choice A reason:
Hyperglycemia: This statement is wrong because hyperglycemia typically presents with symptoms like increased thirst, frequent urination, and fatigue, not sweating and anxiety.
Choice B reason:
Nephropathy: This statement is wrong because nephropathy, a kidney complication, does not cause acute symptoms like sweating and anxiety. It usually presents with proteinuria and progressive kidney dysfunction.
Choice C reason:
Ketoacidosis: This statement is wrong because diabetic ketoacidosis usually presents with symptoms like fruity breath, nausea, vomiting, and deep, rapid breathing (Kussmaul respirations), not sweating and anxiety.
Choice D reason:
Hypoglycemia: This statement is correct because hypoglycemia is characterized by symptoms such as sweating, anxiety, palpitations, and confusion due to the release of adrenaline in response to low blood glucose levels.
Correct Answer is C
Explanation
Choice A reason:
Hay fever allergy, also known as allergic rhinitis, is primarily associated with the action of Immunoglobulin E (IgE) antibodies and not directly with T-cells. T-cells can contribute to the regulation of the immune response in allergies, but IgE is the main immunoglobulin involved in the typical symptoms of hay fever.
Choice B reason:
Anaphylaxis is a severe, potentially life-threatening allergic reaction that involves the release of large amounts of histamine and other chemicals from mast cells and basophils, often triggered by IgE antibodies. While T-cells can play a role in the sensitization phase of allergy, anaphylaxis itself is not directly caused by T-cells.
Choice C reason:
Transplant rejection is a process in which T-cells play a central role. When a transplant recipient's immune system recognizes the donated organ as foreign, T-cells can mediate the rejection by attacking the transplanted tissue, leading to its failure.
Choice D reason:
Bacterial phagocytosis is primarily the function of phagocytes like neutrophils and macrophages. T-cells are involved in the adaptive immune response and can activate phagocytes, but they do not directly perform phagocytosis.
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