Author Question: A client is receiving anakinra. After administering the drug, the nurse would continue to assess the ... (Read 81 times)

meagbuch · **on:** Jul 23, 2018

A client is receiving anakinra. After administering the drug, the nurse would continue to assess the client for which of the following?

A) Constipation
B) Abdominal pain
C) Retinal changes
D) Pancytopenia

Question 2

A client is receiving allopurinol. Which of the following would be most important for the nurse to include in the client's plan of care?

A) Liberal fluid intake
B) Moderate exercise
C) Use of a brace or corset
D) Avoidance of direct sunlight

aidanmbrowne · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
Due to the immunosuppressive properties of DMARD drugs, pancytopenia is an adverse effect of anakinra, a DMARD, and the client should be monitored for it closely. Administration of anakinra may also cause headache and irritation at the injection site, but not constipation, abdominal pain, or retinal changes.

Answer to Question 2

Ans: A
Feedback:
When using uric acid inhibitors, such as allopurinol, the nurse should encourage liberal fluid intake and measure the client's intake and output. The client does not need to exercise or use braces or corsets; clients with osteoporosis may require a brace or corset when out of bed. The client need not avoid sunlight as uric acid inhibitors do not cause photosensitivity.