After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC), the nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching?
"I will avoid large crowds and people who are sick."
"I will take this medication with my breakfast each morning."
"Nausea and vomiting are common side effects of this drug."
"I should wash my hands after I play with my dog."
The Correct Answer is B
A. Avoiding large crowds and sick individuals is appropriate because adalimumab is an immunosuppressant, increasing infection risk.
B. Adalimumab is given as a subcutaneous injection, not an oral medication, so taking it with breakfast is incorrect and indicates a misunderstanding.
C. Nausea and vomiting can occur as side effects of adalimumab, though they are not the most common.
D. Practicing good hand hygiene, especially after contact with animals, helps reduce the risk of infection and is recommended while on immunosuppressive therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Certain medications can cause liver damage or drug-induced hepatitis, but they do not cause hepatitis A, which is a viral infection.
B. Hepatitis A is commonly transmitted through the fecal-oral route, often via contaminated food or water. Eating undercooked or contaminated shellfish like shrimp is a known risk factor.
C. Hepatitis A is not transmitted through blood transfusions; that risk is associated with hepatitis B and C.
D. While Epstein-Barr virus affects the liver, it is not linked to co-infection with hepatitis A.
Correct Answer is C
Explanation
A. While inflammation can worsen, diverticulitis typically affects localized areas, not the entire bowel.
B. Ulcers are not a direct complication of diverticulitis; this is more associated with peptic ulcer disease.
C. If diverticulitis is not treated, the inflamed diverticula can rupture, leading to bowel perforation and peritonitis, which is a life-threatening complication.
D. Appendicitis is a separate condition and is not caused by diverticulitis.
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