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jjj889 jjj889
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6 years ago
A patient with arthritis asks a nurse which nonsteroidal anti-inflammatory medication is best to take. The nurse learns that this patient has a family history of cardiovascular disease. The nurse will recommend which NSAID?
 
  a. Celecoxib (Celebrex)
  b. Diclofenac (Voltaren)
  c. Ketorolac intranasal (Sprix)
  d. Naproxen (Aleve)
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6 years ago
ANS: B
Naproxen is COX-1 selective, and the risk of MI and stroke appear lower with this drug than with other NSAIDs. Celecoxib is a COX-2 inhibitor and has increased risks of cardiovascular effects. Cardiovascular risks appear to be increased with diclofenac. Ketorolac carries the same risk as other NSAIDs, even with intranasal dosing.
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