A client with osteoarthritis has been prescribed celecoxib (Celebrex). The nurse should instruct the client to report which of the following adverse effects immediately?
A.
Constipation
B.
Nausea
C.
Chest pain
D.
Headache
The correct answer and Explanation is :
The correct answer is C. Chest pain.
Explanation:
Celecoxib (Celebrex) is a nonsteroidal anti-inflammatory drug (NSAID) specifically classified as a COX-2 inhibitor. It is commonly prescribed for osteoarthritis to manage pain and inflammation. While Celebrex can be effective in treating symptoms, it also has a range of potential adverse effects that patients need to be aware of.
Adverse Effects and Their Significance:
- Chest Pain: This is the most concerning of the options provided. Celecoxib, like other NSAIDs, can increase the risk of cardiovascular events, including heart attack and stroke. The risk is higher in individuals with preexisting heart conditions or those who use the drug long-term. Chest pain could be a symptom of a serious cardiovascular issue, such as a heart attack. Therefore, it is crucial for patients to report chest pain immediately, as it requires prompt medical evaluation to prevent severe complications.
- Constipation: While not ideal, constipation is a less severe adverse effect compared to chest pain. It is not typically a direct indication of a life-threatening issue but can be managed with dietary adjustments or laxatives if needed.
- Nausea: Nausea is a common side effect of many medications, including Celecoxib. While uncomfortable, it is usually not as urgent as chest pain. Patients can often manage nausea with over-the-counter remedies or by taking the medication with food.
- Headache: Headaches can occur with Celecoxib use but are generally not as severe as chest pain. They may be managed with over-the-counter pain relievers, but persistent or severe headaches should still be reported to a healthcare provider.
In Summary:
Patients taking Celecoxib should be instructed to seek immediate medical attention if they experience chest pain, as this could signal a serious cardiovascular problem. Other side effects, while still important to report, generally do not require immediate action.