A client with psoriasis will be receiving infliximab (Remicade). What will the nurse instruct the client about this medication?
Standard Text: Select all that apply.
1. An increase in infections can occur with this medication.
2. Latent infections can be reactivated with this medication.
3. This medication can only be administered through the intravenous route.
4. This medication is very expensive.
5. Multiple oral doses will need to be taken every day for several months.
Correct Answer: 1,2,3,4
Rationale 1: This medication induces general immunosuppression, and clients are at greater risk for infection.
Rationale 2: Because this medication causes immunosuppression, latent infections can become reactivated.
Rationale 3: A major disadvantage of this medication is that it is not available in oral formulations.
Rationale 4: The cost of therapy may exceed $10,000 per year.
Rationale 5: An oral form of this medication is not available.
Global Rationale: This medication induces general immunosuppression, and clients are at greater risk for infection, including reactivation of latent infections. A major disadvantage of this medication is that it is not available in oral formulations. It is also very expensive.
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