A nurse is providing an in-service about nonsteroidal anti-inflammatory drugs (NSAIDs) to the unit.
Which of the following is considered a second-generation NSAID?
Cetirizine.
Celecoxib.
Diphenhydramine.
Aspirin.
The Correct Answer is B
Choice A rationale
Cetirizine is an antihistamine used to treat allergy symptoms and is not an NSAID.
Choice B rationale
Celecoxib is a second-generation NSAID that selectively inhibits COX-2 enzyme, reducing inflammation and pain with a lower risk of gastrointestinal side effects.
Choice C rationale
Diphenhydramine is an antihistamine used to treat allergic reactions and is not an NSAID.
Choice D rationale
Aspirin is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes to reduce inflammation, pain, and fever.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Beclomethasone (QVAR) is an inhaled corticosteroid used for long-term prophylaxis of asthma. It works by reducing inflammation in the airways, preventing asthma attacks and improving lung function.
Choice B rationale
Metoprolol is a beta-adrenergic blocker used for treating hypertension and certain heart conditions. It is not used for asthma management.
Choice C rationale
Phenytoin is an antiepileptic medication used to control seizures. It does not have a role in asthma management.
Choice D rationale
Furosemide is a loop diuretic used to treat conditions like edema and hypertension by promoting the excretion of excess fluid. It is not indicated for asthma management.
Correct Answer is D
Explanation
Choice A rationale
Bradycardia is not a common complication of ondansetron (Zofran). Instead, one should watch for changes in heart rhythm such as QT interval prolongation.
Choice B rationale
Absence of nausea indicates the desired effect of ondansetron, not a complication.
Choice C rationale
Ondansetron is associated with prolongation of the QT interval, not shortening. QT interval shortening is not a recognized complication.
Choice D rationale
Prolonged QT interval is a known complication of ondansetron and can increase the risk of life-threatening arrhythmias. .
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