A nurse is teaching a client who has rheumatoid arthritis about a new prescription for infliximab. Which of the following statements should the nurse include in the teaching?
"You might sunburn more easily while receiving this medication."
"You will be at an increased risk for infection while receiving this medication."
"You will receive an infusion of the medication every week for 6 weeks.
"You might experience a metallic taste during infusions of the medication."
The Correct Answer is B
B. Clients on infliximab should be vigilant about signs of infection and report any symptoms promptly to their healthcare provider.
A. Clients receiving infliximab should still practice sun protection measures due to potential immune system effects but not necessarily due to direct medication-related photosensitivity.
C This statement is incorrect for infliximab. Infliximab is typically administered as an infusion, but the frequency depends on the condition being treated. For rheumatoid arthritis, infliximab is usually given as an infusion initially and then on a maintenance schedule (e.g., every 4 to 8 weeks).
D. Metallic taste is more commonly reported with certain medications or during certain procedures (like dental work) but is not a typical side effect of infliximab.
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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
A. This statement indicates that the client understands that black stools can indicate gastrointestinal bleeding, a potential side effect of iron supplementation. Notifying the provider is appropriate in this case to assess for any significant bleeding.
B. Taking the medication with orange juice can increase iron absorption due to the vitamin C content.
D. Antacids can reduce the absorption of iron supplements. Therefore, avoiding taking antacids close to the time of taking iron supplements is recommended to ensure optimal absorption.
C. While some iron supplements are best absorbed on an empty stomach, Ferrous Sulfate is typically recommended to be taken with food to reduce gastrointestinal side effects. Taking it on an empty stomach might increase the risk of stomach upset.
E. This statement does not directly relate to iron supplementation. Iron supplements do not typically require rinsing the mouth afterward.
Correct Answer is D
Explanation
D. Statin medications like lovastatin can rarely cause liver enzyme abnormalities, so baseline liver function tests are typically recommended before starting therapy to establish a baseline. This statement is correct and important to include in the teaching. Regular monitoring of liver function tests may also be recommended during treatment to detect any potential liver-related side effects early.
A. Lovastatin is a statin medication used to lower cholesterol levels. Dairy products do not interact directly with lovastatin, so there is no specific need to avoid dairy while taking this medication.
B Lovastatin extended release formulations are designed to release the medication slowly over time. Crushing or chewing extended release tablets can disrupt this mechanism and lead to unintended rapid absorption of the medication.
C. Statin medications, including lovastatin, can be taken at any time of day. There is no specific requirement to take lovastatin in the morning.
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