A nurse is discussing the use of immunosuppressants for the treatment of inflammatory bowel disease (IBD) with a group of nursing students. Which statement by a student indicates under-standing of the teaching?
a. "Azathioprine [Imuran] helps induce rapid remission of IBD."
b. "Cyclosporine [Sandimmune] can be used to induce remission of IBD."
c. "Cyclosporine [Sandimmune] does not have serious adverse effects."
d. "Methotrexate is used long term to main-tain remission of IBD."
B
Cyclosporine can be given intravenously to induce rapid remission of IBD. Azathioprine has de-layed onset of effects up to 6 months and is not used to induce rapid remission. Cyclosporine is a toxic compound that can cause renal impairment, neurotoxicity, and immune suppression. Me-thotrexate is used to promote short-term remission.
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The nurse is preparing teaching for a client with hypertrophic cardiomyopathy. Based on this diagnosis, which medication classification should the nurse prepare to include in the teaching?
A) Digitalis B) Vasodilators C) Nitrates D) Beta blocker
An adult client is experiencing paroxysmal supraventricular tachycardia. Which nursing interventions are appropriate based on the data provided?
Select all that apply. A) Massage the carotid arteries. B) Prepare for cardioversion. C) Begin anticoagulation therapy. D) Administer intravenous adenosine. E) Administer a beta blocker.
During the testicular exam, you palpate a unilateral mass in the scrotum. You are unable to palpate the entire testicle. What is the first thing you should do?
a. Refer the patient to a surgeon. b. Obtain a testicular sonogram. c. Obtain a urethral culture and treat for infection. d. Attempt to transilluminate the mass.
A patient is diagnosed with a low red blood cell count. The nurse should assess this patient for which finding?
1. History of fractures 2. Carbohydrate intake 3. Location of joint replacements 4. Renal functioning