A client is prescribed celecoxib for joint pain. What statement by the client indicates a need for further teaching?

Choice A rationale Celecoxib is a selective COX-2 inhibitor, which is generally associated with a lower risk of gastrointestinal bleeding compared to nonselective NSAIDs; however, it still carries a risk of serious adverse cardiovascular and gastrointestinal events. The client must report signs of bleeding, such as unusual bruising, black or tarry stools, or persistent indigestion, immediately to their provider. Choice B rationale Celecoxib should be taken exactly as prescribed, typically once or twice daily, and the lowest effective dose should be used for the shortest possible duration to minimize the risk of serious adverse effects, particularly cardiovascular thrombotic events. Adherence to the prescribed dose and frequency is crucial for maximizing therapeutic benefits while maintaining safety. Choice C rationale Celecoxib's absorption is actually increased when taken with a high-fat meal, which can improve its therapeutic effect. It is typically prescribed to be taken once or twice a day, not three times. Stating it should be taken on an empty stomach indicates a misunderstanding of administration guidelines and potentially affects drug effectiveness. Choice D rationale Celecoxib, like all NSAIDs, can impair renal blood flow and function, leading to fluid retention and potentially worsening kidney injury. Monitoring urine output and reporting any significant decrease (oliguria) or other changes is important because it could indicate drug-induced nephrotoxicity, which can cause hypertension or edema. —.