The most important nursing consideration when a client is receiving immunostimulant therapy is to
1. monitor for changes in mental status.
2. monitor intake and output.
3. monitor for changes in hepatic enzymes.
4. monitor vital signs.
Correct Answer: 3
Rationale 1: Changes in mental status can increase certain disorders, but this is not the first priority.
Rationale 2: Monitoring intake and output is important but not the most important consideration.
Rationale 3: Hepatic enzymes may become elevated which could require discontinuation of the drug.
Rationale 4: Vitals signs are necessary with any medication.
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