A nurse is teaching a client with psoriatic arthritis about the ...

[JMatthes]

A nurse is teaching a client with psoriatic arthritis about the medication golimumab (Simponi). What information is most important to include?
 
  a. Avoid large crowds or people who are ill.
  b. Stay upright for 1 hour after taking this drug.
  c. This drug may cause your hair to fall out.
  d. You may double the dose if pain is severe.

Question 2

The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other problems. Which statement by the nurse is most appropriate?
 
  a. Drink 1 to 2 liters of water each day.
  b. Have 10 to 12 ounces of juice a day.
  c. Liver is a good source of iron.
  d. Never eat hard cheeses or sardines.

[mcinincha279]

Answer to Question 1

ANS: A
This drug has a Food and Drug Administration black box warning about opportunistic or other serious infections. Teach the client to avoid large crowds and people who are ill. The other instructions do not pertain to golimumab.

Answer to Question 2

ANS: A
Kidney stones are common in clients with gout, so drinking plenty of water will help prevent this from occurring. Citrus juice is high in ash, which can help prevent the formation of stones, but the value of this recommendation is not clear. Clients with gout should not eat organ meats or fish with bones, such as sardines.

[JMatthes]

Thanks for the timely response, appreciate it

[tandmlomax84]

TYSM