Author Question: After teaching a client who is prescribed adalimumab (Humira) for severe ulcerative colitis, the ... (Read 28 times)

magmichele12 · **on:** Jun 25, 2018

After teaching a client who is prescribed adalimumab (Humira) for severe ulcerative colitis, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

a. I will avoid large crowds and people who are sick.
b. I will take this medication with my breakfast each morning.
c. Nausea and vomiting are common side effects of this drug.
d. I must wash my hands after I play with my dog.

Question 2

After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?

a. I'll rinse my rectal area with warm water after each stool and apply zinc oxide ointment.
b. I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel.
c. I must take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry.
d. I shall clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment.

Jordin Calloway · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Adalimumab (Humira) is an immune modulator that must be given via subcutaneous injection. It does not need to be given with food or milk. Nausea and vomiting are two common side effects. Adalimumab can cause immune suppression, so clients receiving the medication should avoid large crowds and people who are sick, and should practice good handwashing.

Answer to Question 2

ANS: B
Toilet paper can irritate the sensitive perineal skin, so warm water rinses or soft cotton washcloths should be used instead. Although aloe vera may facilitate healing of superficial abrasions, it is not an effective skin barrier for diarrhea. Skin barriers such as zinc oxide and vitamin A and D ointment help protect the rectal area from the excoriating effects of liquid stools. Patting the skin is recommended instead of rubbing the skin dry.