Author Question: The clinic nurse is caring for a patient who is taking a COX-2 inhibitor and knows that this patient ... (Read 58 times)

berenicecastro · **on:** Jul 23, 2018

The clinic nurse is caring for a patient who is taking a COX-2 inhibitor and knows that this patient needs to be assessed for what? (Select all that apply.)

A) Bleeding time
B) Liver function
C) Altered hearing
D) Gastrointestinal (GI) effects
E) Water retention

Question 2

A nurse is providing patient education to a patient who has had corticosteroids prescribed. What drug will the nurse teach the patient to avoid while taking the corticosteroids?

A) Aspirin
B) Dimenhydrinate (Dramamine)
C) Ibuprofen (Advil)
D) Famotidine (Pepcid)

ilianabrrr · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, D, E
Feedback:
COX-2 inhibitors have an impact on many body functions and patients receiving this therapy should be assessed for GI effects, changes in bleeding time, and water retention. Patients taking COX-2 inhibitors do not need to be evaluated for liver function or altered hearing because these are not common adverse effects.

Answer to Question 2

A
Feedback:
Serum levels and effectiveness may decrease if corticosteroids are combined with salicylates. Dimenhydrinate, ibuprofen, and famotidine have not been found to produce drugdrug interaction.