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)
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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What should nursing care focus on to best support a patient with mild cognitive impairment (MCI)?
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A) Rub the area to make it dry after shaving. B) Hold the skin lightly while making strokes. C) Apply shaving cream if the client wishes. D) Move razor against direction of hair growth.