The nurse is caring for a client with severe ulcerative colitis who has been prescribed adalimumab (Humira). Which client statement indicates that additional teaching about the medication is needed?
a. "I will avoid large crowds and people who are sick."
b. "I will take this medication with food or milk."
c. "Nausea and vomiting are common side effects."
d. "I will wash my hands after I play with my dog."
B
Adalimumab (Humira) is an immune modulator that must be given via subcutaneous injection. It does not need to be given with food or milk. Nausea and vomiting are two common side effects. Adalimumab can cause immune suppression, so clients receiving the medication should avoid large crowds and people who are sick, and should practice good handwashing.
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Category-two conflict, or mental struggle resulting from incompatible or opposing needs, drives, wishes, or internal or external demands, is best demonstrated by which scenario?
1. Students compete for front-row seating in the classroom. 2. A student disagrees with an instructor's point of view. 3. A student is unhappy with her clinical assignment due to attitudes of staff. 4. Two nurses bicker over who gets which patient assignments.
A researcher studies the effect on reading comprehension level of providing fourth-grade boys who are slow and ponderous readers with illustrated comic books for a six-week summer session instead of textbooks,
hypothesizing that reading associated with pictures will results in a higher reading comprehension level. The researcher set a level of significance at p <.05. Analysis of the data from a study indicates that there was a significant difference between the two groups, which were randomly selected and composed of 100 subjects each. However, the experimental comic book group's scores improved less than did the scores of the boys who used the textbooks. The measured p-level was 0.026. What type of finding is this? a. Significant results that are in keeping with those predicted by the researcher b. Nonsignificant results c. Significant results that oppose those predicted by the researcher d. Mixed results
A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae (CRE). The nurse expects to see orders for which drug?
a. Dapsone (Cubicin), a miscellaneous antibiotic b. Ciprofloxacin (Cipro), a quinolone c. Linezolid (Zyvox), an oxazolidinone d. Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
A mother asks the nurse if her breastfed infant is at risk for a B12 deficiency due to her vegetarian dietary preference. Which statement should the nurse provide the mother?
A. "Vitamin B12 is not secreted in the breast milk." B. "The baby is unable to store adequate amounts of vitamin B12." C. "The baby's digestive system is unable to absorb sufficient amounts of vitamin B12." D. "The baby is at risk if exclusively breastfed for 12 months."