A nurse is teaching a client with psoriatic arthritis about the medication golimumab (Simponi). What information is most important to include?

a. "Avoid large crowds or people who are ill."
b. "Stay upright for 1 hour after taking this drug."
c. "This drug may cause your hair to fall out."
d. "You may double the dose if pain is severe."


ANS: A
This drug has a Food and Drug Administration black box warning about opportunistic or other serious infections. Teach the client to avoid large crowds and people who are ill. The other instructions do not pertain to golimumab.

Nursing

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When explaining this health problem to the patient, how should the nurse describe it? A) "Cushing's disease happens when your pituitary gland doesn't stimulate your other glands enough." B) "Cushing's disease is a result of an overproduction of steroid hormones by your kidneys." C) "Cushing's disease most often happens when people are taking corticosteroid medications and stop them abruptly." D) "Cushing's disease often results from a growth on your kidney that causes inadequate production of steroids."

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An infant born to a diabetic mother should be closely monitored for the presence of what condition?

a. Hyperglycemia b. Hypercalcemia c. Hypoglycemia d. Cardiac abnormalities

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Which assessment technique involves a systematic observation of the client?

A) Auscultation B) Inspection C) Palpation D) Percussion

Nursing

An 84-year-old patient has returned from the PACU. The patient is oriented to name only. The patient's family is very upset because before having surgery, the patient knew the family. The patient is diagnosed with delirium

What should the nurse explain to the patient's family? A) There is nothing to worry about. B) Delirium involves a progressive decline in memory loss. C) Delirium usually lasts only a short time. D) Delirium is generally more prevalent in women.

Nursing