A client takes celecoxib (Celebrex) for chronic osteoarthritis in multiple joints. After a knee replacement, the health care provider has prescribed morphine sulfate for postoperative pain relief
The client also requests the celecoxib in addition to the morphine. What action by the nurse is best?
a.
Consult with the health care provider about administering both drugs to the client.
b.
Inform the client that the celecoxib will be started when he or she goes home.
c.
Teach the client that, since morphine is stronger, celecoxib is not needed.
d.
Tell the client he or she should not take both drugs at the same time.
ANS: A
Despite getting an opioid analgesic for postoperative pain, the nurse should be aware that the client may be on other medications for arthritis in other joints. The nonsteroidal anti-inflammatory drug celecoxib will also help with the postoperative pain. The nurse should consult the provider about continuing the celecoxib while the client is in the hospital. The other responses are not warranted, as the client should be restarted on this medication postoperatively.
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