A patient with Crohn's disease will begin receiving an initial infusion of infliximab [Remicade]. The nurse explains how this drug works to treat this disease. Which statement by the patient in-dicates a need for further teaching?

a. "I may have an increased risk of infec-tions, such as tuberculosis, when taking infliximab."
b. "I should report chills, fever, itching, and shortness of breath while receiving the infusion."
c. "This drug sometimes provides a complete cure of inflammatory bowel disease."
d. "I will take the second dose in 2 weeks, the third dose in 6 weeks, and then a dose every 8 weeks thereafter."


C
None of the drugs used to treat obstructive bowel disease (OBD) are curative. Patients taking immunomodulators, such as infliximab, have an increased risk of infection, especially opportu-nistic infections such as TB. Infusion reactions may occur and include chills, fever, itching, and shortness of breath. The induction regimen is 5 mg/kg infused at 0, 2, and 6 weeks, followed by a maintenance regimen every 8 weeks.

Nursing

You might also like to view...

During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate:

a. Right ventricular hypertrophy. b. Increased volume and size of the heart as a result of pregnancy. c. Displacement of the heart from elevation of the diaphragm. d. Increased blood flow through the internal mammary artery.

Nursing

Which of the following legislation marked the first entry of the federal government into school health?

a. The Drug-Free Schools and Community Act b. The Education for the Handicapped Act c. The National School Lunch Program d. The Safe and Drug Free Schools and Communities Act

Nursing

In which instance would the nurse hold the dose of levothyroxine (Synthroid)?

1. The client complains of palpitations. 2. The client's blood pressure 118/78 mmHg. 3. The client's respiratory rate is 10. 4. The client is fatigued.

Nursing

The nurse knows that, according to recent research, which areas of the brain are involved in the regulation of both mood and emotion? Select all that apply

1. Septum 2. Amygdala 3. Basal ganglia 4. Hippocampus 5. Pre-frontal

Nursing