A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

Take the medication with milk. Report chest pain.Remain upright after taking for 30 minutes.Allow six weeks for optimal effects.

Explanation.

Cox II inhibitors have been associated with heart attacks and strokes. Any changes in cardiac status or signs of a stroke should be reported immediately along with any changes in bowel or bladder habits because bleeding has been linked to use of Cox II inhibitors. The client does not have to take the medication with milk remain upright or allow six weeks for optimal effect so answers A C and D are incorrect.