A patient is to be started on adalimumab (Humira) for management of rheumatoid arthritis. Which of the following statements by the patient demonstrates accurate knowledge about the drug?
a. "My husband will be giving me intramuscular injections of the medication in my lateral thighs."
b. "I have been taught how to administer the medication to myself in the fatty tis-sues of my anterior thighs and abdomen."
c. "The drug must be stored in a warm place."
d. "The drug is more likely to cause allergic reactions when administered orally."
B
Adalimumab is administered subcutaneously in the anterior thighs or abdomen by the nurse, pa-tient, or caregiver.
Adalimumab is for subcutaneous administration only.
Adalimumab should be stored cold at 2° to 8° C (36 to 46° F).
Adalimumab is not available for oral administration.
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The OB clinic nurse is giving a pregnant woman information on different types of anesthesia and pain control for use during labor. What information does the nurse provide about spinal anesthesia block? (Select all that apply.)
A. Anesthesia occurs after only a 10- to 15-minute delay. B. It can be used for both vaginal and cesarean births. C. It causes decreased maternal level of consciousness. D. It may increase the chance of an operative birth. E. It provides excellent muscular relaxation.
Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the physician's order allows. b. A neonatal nurse provides nourishment and care to a newborn who has a defect that is incompatible with life. c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion. d. A postpartum nurse provides information about adoption to a new mother who feels she cannot adequately care for her infant.
A woman currently uses a diaphragm and spermicide for contraception. She asks the nurse what the major differences are between the cervical cap and diaphragm. The nurse's most appropriate response would be:
1. "No spermicide is used with the cervical cap, so it is less messy.". 2. "The diaphragm can be left in place longer after intercourse.". 3. "Repeated intercourse with the diaphragm is more convenient.". 4. "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later.".
A patient diagnosed with major affective disorder expresses concern to a nurse about how to spend time after discharge. The patient states, "I don't want to just sit at home alone but I'm a little afraid of how others will respond to me."
The nurse should suggest: a. "Just try to get out and meet people.". b. "You should really take it easy when you get home.". c. "Try taking a course at your local community college.". d. "Consider going to a consumer-run psychosocial program.".