Difficulty: Medium
Average Score: 67%
Simulated
A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?
Correct answer
D
Rationale
The correct answer is D: Sulfonamide allergy. Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that belongs to the sulfonamide class of medications. Patients with a known allergy to sulfonamides are at an increased risk of developing an allergic reaction to celecoxib. It is important for the nurse to recognize this contraindication to prevent potential serious adverse reactions such as anaphylaxis.
A: Concurrent use of chondroitin - This is not a contraindication for celecoxib as there is no known significant interaction between chondroitin and celecoxib.
B: Concurrent use of calcium supplements - Calcium supplements do not interact with celecoxib and are not a contraindication for its use.
C: Penicillin allergy - Penicillin allergy is not related to celecoxib use as they are different classes of medications with distinct mechanisms of action.
In summary, the correct answer is D because
A: Concurrent use of chondroitin - This is not a contraindication for celecoxib as there is no known significant interaction between chondroitin and celecoxib.
B: Concurrent use of calcium supplements - Calcium supplements do not interact with celecoxib and are not a contraindication for its use.
C: Penicillin allergy - Penicillin allergy is not related to celecoxib use as they are different classes of medications with distinct mechanisms of action.
In summary, the correct answer is D because