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gaoxing01 gaoxing01
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6 years ago
A client has been started on a first-generation nonsteroidal anti-inflammatory medication for arthritis pain. The client says, I remember something about one of these drugs causing heart attacks and strokes. Which drug was that?
 
  The nurse responds that the drug was celecoxib (Celebrex) but that:
  1. Celebrex causes no problems at lower dosages.
  2. the client has been prescribed a different medication.
  3. the drug has been taken off the market.
  4. newer research has proven that the concerns were unfounded.
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Replies
wrote...
6 years ago
Correct Answer: 2
Rationale 1: The adverse effects of Celebrex are not dose dependent.
Rationale 2: Celecoxib (Celebrex) is an effective second-generation NSAID but has limited use due to increased risk of myocardial infarction and stroke.
Rationale 3: Celebrex is still available, but its use is limited due to the increased risk of myocardial infarction and stroke.
Rationale 4: Use of Celebrex is limited due to the increased risk of myocardial infarction or stroke.
Global Rationale: Celecoxib (Celebrex) is a second-generation NSAID and is the sole drug remaining in this class in the United States. Other COX-2 inhibitors are still available outside the U.S. The COX-2 inhibitors have been found to increase the risk of serious cardiovascular events, including fatal MI and stroke. These results are not dose dependent.
gaoxing01 Author
wrote...
6 years ago
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