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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Related Questions
Correct Answer is B
Explanation
B. Methotrexate is a contraindication for live attenuated vaccines like Zostavax. It suppresses the immune system, which can reduce the effectiveness of the vaccine and increase the risk of developing the infection from the vaccine strain.
A. Metformin is not a contraindication for receiving the shingles vaccine. It does not affect the immune system in a way that would interfere with the vaccine's efficacy or safety.
C. Estrogen therapy is not a contraindication for the shingles vaccine. It does not affect the immune system in a manner that would interfere with the vaccine's efficacy or safety.
D. Esomeprazole is not a contraindication for the shingles vaccine. It does not affect the immune system or interact with the vaccine in a way that would make the vaccine unsafe or less effective.
Correct Answer is B
Explanation
B. Muscarinic agonists can cause bradycardia (slow heart rate) due to increased vagal tone. Atropine, as a muscarinic antagonist, increases heart rate by blocking the vagal effects on the heart. A heart rate of 90/min suggests normalization of heart rate, indicating that atropine has been effective in reversing bradycardia.
A. Muscarinic agonists can cause excessive gastrointestinal motility and increased bowel sounds. Atropine, by blocking muscarinic receptors, reduces gastrointestinal motility and can lead to decreased bowel sounds. Therefore, hyperactive bowel sounds would suggest ongoing muscarinic stimulation and inadequate response to atropine.
C. Muscarinic agonists can cause hypotension (low blood pressure) due to vasodilation and decreased cardiac output. Atropine can cause mild to moderate increases in blood pressure by blocking vasodilation and increasing sympathetic tone. A blood pressure of 90/50 mm Hg suggests persistent hypotension and inadequate response to atropine.
D Muscarinic agonists can cause excessive salivation and secretions. Atropine reduces salivation and secretions by blocking muscarinic receptors. Therefore, increased salivation would indicate ongoing muscarinic stimulation and insufficient response to atropine.
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