This topic contains a solution. Click here to go to the answer

Author Question: A nurse is discussing the administration of an intravenous infusion of rituximab (Rituxan) with a ... (Read 64 times)

mckennatimberlake

  • Hero Member
  • *****
  • Posts: 559
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
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
Excellent


Bigfoot1984

  • Member
  • Posts: 321
Reply 3 on: Yesterday
Gracias!

 

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

For a complete list of videos, visit our video library