This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is discussing the administration of an intravenous infusion of rituximab (Rituxan) with a ... (Read 27 times)

mckennatimberlake

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
A nurse is discussing the administration of an intravenous infusion of rituximab (Rituxan) with a nursing student. Which statement by the student indicates a need for further education about the care of a patient receiving this drug?
 
  a. Angioedema and hypersensitivity may occur, but they are usually self-limiting and mild.
  b. I should be prepared to administer epi-nephrine, glucocorticoids, and oxygen if needed.
  c. I will administer an antihistamine and acetaminophen before beginning the infu-sion.
  d. I will monitor this patient's blood pres-sure, respiratory rate, and oxygen satura-tion closely.

Question 2

A child who has juvenile idiopathic arthritis and who has been taking methotrexate Rheumatrex will begin a course of abatacept Orencia. What will the nurse include when teaching the child's family about this drug?
 
  a. That abatacept and methotrexate must both be taken to be effective
  b. To continue getting vaccinations during therapy with abatacept
  c. That signs of infection may warrant im-mediate discontinuation of abatacept
  d. That a tumor necrosis factor (TNF) anta-gonist may be added if this therapy is not effective


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cam1229

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Rituximab can cause severe infusion-related hypersensitivity reactions. Nurses should be pre-pared to administer epinephrine, steroids, and O2 if needed. Antihistamines and acetaminophen are given before infusion. Close monitoring of vital signs and oxygenation are indicated.

Answer to Question 2

C
Abatacept suppresses immune function and can increase the risk of serious infection. Parents should report any signs of infection, which may warrant discontinuation of abatacept. Abatacept may be taken alone. Abatacept may blunt the effectiveness of vaccines, and vaccines should be up-to-date prior to therapy and may need to be delayed until 3 months after therapy. Live vac-cines should be avoided. Abatacept should not be given with TNF antagonists because of the increased risk of serious infections.


mckennatimberlake

  • Member
  • Posts: 559
Reply 2 on: Jul 23, 2018
Gracias!

upturnedfurball

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

When using an interpreter, the nurse should pose questions directly to the patient, not the interpre When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Parenteral medication administration. The angle of needle insertion for four different types of pare Parenteral medication administration. The angle of needle insertion for four different types of pare
A nurse adjusts the rate of a client’s IV. A nurse adjusts the rate of a client’s IV.
C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
Hubba Hubba Nurse Smiley Hubba Hubba Nurse Smiley
Intramuscular drug administration: (b) the administration site is prepped Intramuscular drug administration: (b) the administration site is prepped
Video: Blood Flow Through the Kidneys

For a complete list of videos, visit our video library