The nurse would question a prescription for infliximab (Remicade) for an adult with rheumatoid arthritis and a concurrent diagnosis of which of the following? (Select all that apply.)
a. Asthma
b. Diabetes
c. Heart failure
d. Gallstones
e. Hepatitis
C, E
The nurse should question concurrent administration of infliximab in a patient with rheumatoid arthritis and heart failure (HF) or hepatitis. Infliximab may increase the risk of hospitalization and mortality in patients with HF. It also may cause liver injury, leading to a need for liver trans-plantation.
Infliximab is not contraindicated in patients with asthma, diabetes, or gallstones.
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The laboring client's fetal heart rate baseline is 120 beats per minute (bpm). Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110, and is at 120 by the end of the contraction
What nursing action is best? 1. Document the fetal heart rate. 2. Apply oxygen via mask at 10 liters. 3. Prepare for imminent delivery. 4. Assist the client into Fowler's position.
The nurse is caring for a patient with diabetes mellitus. When teaching the patient about foot care, which instruction should the nurse provide?
A) Examine feet once per week for redness, blisters, and abrasions. B) Apply lotion to dry feet, especially between the toes. C) Avoid hot-water bottles and heating pads. D) Dry feet vigorously after each bath.
A client phones into the physician's office and reports an insect has flown into his ear and asks the nurse what he should do. The nurse instructs him to:
A) irrigate the ear with water to flush out the insect. B) instill mineral oil into the ear canal and try to gently remove insect with tweezers. C) attempt to remove the insect with a cotton-tipped applicator that has been dipped in hydrogen peroxide. D) apply Vaseline to smother and kill the insect.
Parents ask the nurse for advice on how to begin toilet training the 2-year-old. The nurse suggests:
a. Waiting until child wakes up from naps dry b. Placing the child on a potty seat at regular intervals during the day c. Beginning the use of training pants d. All of the above