A patient who has psoriasis will begin taking etanercept (Enbrel). The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?

a. Complete blood count (CBC) with differential
b. CD4 and T-cell count
c. Serum pregnancy test
d. Tuberculin test


ANS: D
Enbrel can worsen infections, and patients taking this drug must have a tuberculin skin test prior to initiation of treatment. CBC, CD4, and T-cell counts are monitored during therapy with alefacept. A serum pregnancy test is not indicated.

Nursing

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When caring for a patient with terminal acute myeloid leukemia (AML) receiving supportive care at home, the home care nurse should ensure that the family:

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The nurse explains that treatment of secondary hypertension primarily focuses on:

1. a smoking cessation program. 2. a strenuous exercise program. 3. losing weight rapidly. 4. specific disease.

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A laboring patient tells the nurse that she needs to have a bowel movement. The nurse recognizes that the woman is most likely in which stage of labor?

a. Active first stage b. Second stage c. Third stage d. Fourth stage

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Most health care facilities encourage staff to use mouth-to-mouth ventilation to treat patients who are in respiratory arrest.

Answer the following statement true (T) or false (F)

Nursing