The nurse is caring for a patient who is to be discharged from the hospital on etanercept (Enbrel). Which of the following instructions should the nurse include in the patient teaching?
a. Eat high-fat foods to enhance absorption.
b. Avoid live vaccines.
c. Avoid all forms of alcohol.
d. Practice passive range of motion exercises daily.
B
The nurse should tell the patient to avoid live vaccines. Because etanercept neutralizes tumor ne-crosis factor (a contributor to the pathophysiology of rheumatoid arthritis), the drug may increase the patient's risk of acquiring or transmitting infection if vaccinated with a live vaccine.
Eating a high-fat diet does not enhance absorption of the medication.
Alcohol is not contraindicated with etanercept therapy.
The patient should be encouraged to perform active, not passive, range of motion exercises.
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