A child has juvenile idiopathic arthritis and will begin a course of etanercept (Enbrel). The nurse will conduct a thorough health history with special attention to:
a. bone growth development.
b. immunization status.
c. pulmonary function.
d. seasonal allergies.
ANS: B
Patients beginning therapy with etanercept should be fully immunized to prevent the risk of communicable diseases as well as to avoid giving live-virus vaccines, since etanercept suppresses immunity. Bone growth development, pulmonary function, and seasonal allergies are not of special concern with this drug.
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