The nurse provides teaching for a patient who will begin taking bosentan (Tracleer) for pulmonary arterial hypertension (PAH). Which statement by the patient indicates a need for further teaching about this medication?
a. "I may take this medication with or without food."
b. "I may develop irreversible liver damage while taking this drug."
c. "I should not take cyclosporine while taking this medication."
d. "I will need to have lab tests every month while taking this drug."
ANS: B
Liver injury may occur with bosentan but all cases to date have been reversible. The medication may be taken without regard to meals. Patients taking bosentan should not take cyclosporine concurrently. Patients will need to have liver enzymes measured monthly while taking the drug.
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