A client receiving adalimumab asks the nurse how this drug works to treat her RA. The nurse's response is based on knowledge that biologic response modifiers, the newest of the DMARDs:
a. bind with tumor necrosis factor to block normal inflammatory and immune responses.
b. increase the level of TNF to prevent inflammation without altering the body's immune responses.
c. block prostaglandins in the joints to decrease inflammation and pain.
d. inhibit antibody production as well as the release of enzymes from phagocytizing leukocytes.
ANS: A
Feedback
A Correct: This is the action of biologic response modifiers.
B Incorrect: Biologic response modifiers inactivate TNF.
C Incorrect: This is the action of NSAIDs.
D Incorrect: This is the presumed action of gold compounds.
You might also like to view...
The client with severe chronic pain has been admitted to the hospital for an unrelated illness. The client is taking an NSAID plus a moderate dose of an opioid for pain control. Which of the following would the nurse plan to assess?
1. Client's safety rating at home 2. The client's exercise habits 3. The client's bowel functioning 4. The client's nutritional status
The nurse listens to the lung sounds of a postoperative client and determines that the client is not able to clear the secretions from the lungs. What intervention should the nurse provide prior to suctioning?
A) Hyperoxygenate the client with 100% oxygen. B) Place the client in the supine position. C) Plan to suction for at least 20 seconds to remove secretions. D) Administer a sedative prior to suctioning.
A client with alcoholism and cirrhosis of the liver is admitted after 2 days of vomiting and diarrhea. The physician orders a hydrating solution of 5% dextrose in water intravenously
If thiamin is not included in that order, the nurse should inquire about it because: 1. Thiamin is necessary to predigest the dextrose for immediate absorption 2. Intravenous glucose without thiamin in the cirrhosis client can precipitate the Wernicke-Korsakoff syndrome 3. Thiamin prevents folic acid stores from being diluted by the hydrating solution 4. Deficiency of thiamin causes delirium tremens
An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of which of the following complications?
a. Air embolism b. Allergic reaction c. Hemolytic reaction d. Circulatory overload