When caring for older adults receiving immune modulators, what are the nurse's priorities of care? (Select all that apply.)
A) Assess carefully for infection.
B) Obtain baseline liver function studies and monitor follow-up studies.
C) Determine dosage based on renal and liver function.
D) Minimize teaching to avoid causing confusion.
E) Encourage the family to visit often, especially young children.
A, B, C
Feedback:
Older patients may be more susceptible to the effects of the immune modulators, partly because the aging immune system is less efficient and less responsive. These patients need to be monitored closely for infection, GI, renal, hepatic, and central nervous system effects. Baseline renal and liver function tests can help to determine whether a decreased dosage will be needed before beginning therapy. Because these patients are more susceptible to infection, they need to receive extensive teaching, not less teaching, about ways to avoid infection and injury. Contact with young children and large groups of people increase the risk of infection.
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