Anakinra (Kineret) is prescribed for a 49-year-old patient who ...

[jjjetplane]

Anakinra (Kineret) is prescribed for a 49-year-old patient who has rheumatoid arthritis (RA). When teaching the patient about this drug, the nurse will include information about
 
  a. avoiding concurrently taking aspirin.
  b. symptoms of gastrointestinal (GI) bleeding.
  c. self-administration of subcutaneous injections.
  d. taking the medication with at least 8 oz of fluid.

Question 2

The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests that they
 
  a. stand rather than sit when performing household and yard chores.
  b. strengthen small hand muscles by wringing sponges or washcloths.
  c. protect the knee joints by sleeping with a small pillow under the knees.
  d. avoid activities that require repetitive use of the same muscles and joints.

[akpaschal]

Answer to Question 1

ANS: C
Anakinra is administered by subcutaneous injection. GI bleeding is not a side effect of this medication. Because the medication is injected, instructions to take it with 8 oz of fluid would not be appropriate. The patient is likely to be concurrently taking aspirin or nonsteroidal antiinflammatory drugs (NSAIDs), and these should not be discontinued.

Answer to Question 2

ANS: D
Patients are advised to avoid repetitious movements. Sitting during household chores is recommended to decrease stress on joints. Wringing water out of sponges would increase the joint stress. Patients are encouraged to position joints in the extended position, and sleeping with a pillow behind the knees would decrease the ability of the knee to extend and also decrease knee range of motion (ROM).

[jjjetplane]

Excellent

[chereeb]

Thanks for the timely response, appreciate it