A patient is starting celecoxib to treat osteoarthritis.
What adverse effects should the nurse instruct the patient to monitor and report?
Black tarry stools
Dry mouth
Polyuria
Bone pain
The Correct Answer is A
Choice A rationale
Celecoxib, like other NSAIDs, can increase the risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Black, tarry stools can be a sign of GI bleeding.
Choice B rationale
Dry mouth is not typically associated with celecoxib use.
Choice C rationale
Polyuria, or excessive urination, is not typically associated with celecoxib use.
Choice D rationale
Bone pain is not typically a side effect of celecoxib. Celecoxib is used to relieve pain from various conditions, including osteoarthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
As an advocate, the nurse acts to protect the patient’s rights and helps them to speak for themselves. This includes supporting the patient’s decisions, even when these decisions might not be in line with the nurse’s personal beliefs.
Choice B rationale
As a manager, the nurse coordinates activities of members of the nursing staff in delivering nursing care, and oversight ensures that care is safe, effective, and patient-centered.
Choice C rationale
As a caregiver, the nurse assists patients with meeting their physical, psychological, and developmental needs. This role involves direct patient care activities.
Choice D rationale
As an educator, the nurse works to enhance patients’ knowledge about their health and care, promoting health behaviors and self-care skills.
Correct Answer is D
Explanation
Choice A rationale
MRSA, or Methicillin-resistant Staphylococcus aureus, is a type of bacteria that is resistant to many antibiotics. Antiviral medications are used to treat viral infections, not bacterial infections like MRSA1234.
Choice B rationale
Patients with MRSA are typically placed on contact precautions, not airborne precautions. This is because MRSA is primarily spread through direct contact with an infected wound or from contaminated hands, not through the air.
Choice C rationale
While MRSA can survive on hands, it typically survives for less than an hour. However, the exact duration can vary depending on the conditions.
Choice D rationale
Bathing patients with water and chlorhexidine gluconate is a common practice to help control MRSA. Chlorhexidine gluconate is an antiseptic that kills a wide range of bacteria, including MRSA1234.
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