A 28-year-old with psoriatic arthritis and back pain is receiving etanercept (Enbrel). Which finding is most important for the nurse to report to the health care provider?
a. Crackles are heard in both lung bases.
b. Red, scaly patches are noted on the arms.
c. Hemoglobin level is 11.1g/dL and hematocrit is 35%.
d. Patient reports continued back pain after a week of etanercept therapy.
ANS: A
Because heart failure is a possible adverse effect of etanercept, the medication may need to be discontinued. The other information will also be reported to the health care provider but does not indicate a need for a change in treatment. Red, scaly patches of skin and mild anemia are commonly seen with psoriatic arthritis. Treatment with biologic therapies requires time to improve symptoms.
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