Anakinra (Kineret) is prescribed for a 49-year-old patient who has rheumatoid arthritis (RA). When teaching the patient about this drug, the nurse will include information about
a. avoiding concurrently taking aspirin.
b. symptoms of gastrointestinal (GI) bleeding.
c. self-administration of subcutaneous injections.
d. taking the medication with at least 8 oz of fluid.
ANS: C
Anakinra is administered by subcutaneous injection. GI bleeding is not a side effect of this medication. Because the medication is injected, instructions to take it with 8 oz of fluid would not be appropriate. The patient is likely to be concurrently taking aspirin or nonsteroidal antiinflammatory drugs (NSAIDs), and these should not be discontinued.
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While reviewing the client's medical record, the nurse learns the client has atelectasis. Which statement indicates an appropriate understanding of this term?
1. "The lung has partially collapsed." 2. "A lobe of the lung has collapsed." 3. "Air sacs within the lung have collapsed." 4. "A complete collapse of the lung has occurred."
The tendency for bipolar disorder to be inherited is supported, at the present time, by studies that:
a. link bipolar disorder with chromosome 13 b. show that 70% of relatives of clients with bipolar disease will have a bipolar disorder c. examine the comorbidity of bipolar disorder among identical twins and fraternal twins d. determine retrospectively by genogram the relatives of the client who had bipolar disorder
MC The Gates Foundation is funding the development of a viable AIDS vaccine and the eradication of childhood diseases through immunization. Though based in the United States, this foundation is considered a
A. Sector-wide approach to health. B. Bilateral agency. C. Non-governmental organization. D. Unilateral agency.
The nurse delegates the measurement of vital signs on three clients to unlicensed assistive personnel (UAP). The nurse evaluates the UAP's performance and notes that blood pressure is measured on a client by having the client hold the arm hanging over the side of the bed. Which is the priority action by the nurse?
1. Commend the UAP for following the proper procedure. 2. Inform the charge nurse that the UAP does not know how to measure blood pressures. 3. Yell at the UAP and tell her she is incompetent. 4. Instruct the UAP that blood pressure should be measured with the artery at or above the level of the heart, and demonstrate correct technique.