A client will be taking the tumor necrosis factor inhibitor, infliximab (Remicade), for the treatment of rheumatoid arthritis. Prior to beginning this therapeutic regimen, what screening should the client have?
A) Screening for tuberculosis
B) Screening for peptic ulcer disease
C) Screening for syphilis
D) Screening for rubella
A
Feedback:
Before prescribing a TNF inhibitor, clients should be screened for tuberculosis because there is a risk for activating latent tuberculosis. It is not necessary to screen for peptic ulcer disease, syphilis, or rubella prior to beginning TNF inhibitor therapy.
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A nurse is providing care for a patient whose recent colostomy has contributed to a nursing diagnosis of Disturbed Body Image Related to Colostomy. What intervention best addresses this diagnosis?
A) Encourage the patient to conduct online research into colostomies. B) Engage the patient in the care of the ostomy to the extent that the patient is willing. C) Emphasize the fact that the colostomy was needed to alleviate a much more serious health problem. D) Emphasize the fact that the colostomy is temporary measure and is not permanent.
The recommended carbohydrate content of total dietary intake (% total calories) is ____%
Fill in the blank(s) with correct word
A nurse in the hospital is interested in transferring to a job that requires community health nursing knowledge and experience
She has enjoyed her role in the hospital as teacher and did this type of nursing in another town where she lived several years ago. Which of the following roles of a community health nurse requires developing programs and supporting others to attain better health? A) Health promotion B) Collaboration C) Capacity building D) Appreciative inquiry
A patient with respiratory failure has a respiratory rate of 6 breaths/minute and an oxygen saturation (SpO2) of 88%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?
a. Administration of 100% oxygen by non-rebreather mask b. Endotracheal intubation and positive pressure ventilation c. Insertion of a mini-tracheostomy with frequent suctioning d. Initiation of continuous positive pressure ventilation (CPAP)