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."

Answer and Explanation

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 D

Explanation

D. Nitroprusside is the medication of choice for managing hypertensive emergencies such as severe hypertension with end-organ damage (e.g., hypertensive encephalopathy, acute myocardial infarction). It rapidly reduces blood pressure, relieving symptoms such as severe headache and preventing complications associated with severely elevated blood pressure

A. Dexamethasone is not indicated for the acute management of severe hypertension. It is typically used for conditions such as inflammation, allergic reactions, or certain neurological conditions. It does not directly lower blood pressure and would not address the urgent need to reduce hypertensive emergency.

B. Epinephrine is not used for the treatment of hypertension in adults. It is primarily indicated for severe allergic reactions (anaphylaxis), cardiac arrest, and severe asthma exacerbations. Its use in hypertensive emergencies is not appropriate and could exacerbate hypertension.

C Dobutamine is used to increase cardiac output in conditions such as heart failure or cardiogenic shock. It does not have a role in the acute management of severe hypertension and would not address the elevated blood pressure in this scenario.

A. Digoxin B. Dopamine C. Verapamil D. Amiodarone

Correct Answer is D

Explanation

D. Amiodarone is a potent antiarrhythmic agent that affects multiple ion channels (sodium, potassium, calcium channels) and has properties of both Class I, II, III, and IV antiarrhythmics. Amiodarone is the drug of choice for treating life-threatening ventricular dysrhythmias, including ventricular tachycardia and ventricular fibrillation. It can be administered rapidly via intravenous bolus followed by infusion to stabilize the heart rhythm and prevent recurrence.

A. Digoxin is more commonly used for atrial dysrhythmias, such as atrial fibrillation or atrial flutter, rather than ventricular dysrhythmias. It does not have rapid anti-dysrhythmic effects suitable for life- threatening ventricular arrhythmias.

B. Dopamine is typically used to support blood pressure and cardiac output in shock states rather than for direct management of ventricular dysrhythmias.

C. Verapamil is used for atrial dysrhythmias, such as atrial fibrillation or supraventricular tachycardia, but not typically for ventricular dysrhythmias. In fact, it can worsen ventricular dysrhythmias and is contraindicated in some cases of ventricular tachycardia.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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