Author Question: A patient with progressive multiple sclerosis will be started on alemtuzumab (Lemtrada). The nurse ... (Read 136 times)

lindiwe · **on:** Jul 23, 2018

A patient with progressive multiple sclerosis will be started on alemtuzumab (Lemtrada). The nurse should ensure which interventions are completed prior to initiating this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. A varicella zoster vaccination is scheduled.
2. A complete blood count (CBC) has been drawn.
3. A serum creatinine has been drawn.
4. A skin exam has been completed.
5. An indwelling urinary catheter is placed.

Question 2

The nurse teaches clients with rheumatoid arthritis about the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs). The nurse evaluates that education has been effective when the clients make which statement?

1. Blood tests may be necessary to monitor for side effects of this drug.
2. We must be careful about falling with this medication because it can cause drowsiness.
3. We must take the medicine just as the doctor said to take it.
4. We must be sure and keep all scheduled doctors' appointments.

Smiles0805 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,3,4
Rationale 1: The patient should have a varicella zoster vaccination at least 6 weeks prior to beginning this therapy.
Rationale 2: A CBC should be obtained prior to treatment.
Rationale 3: A serum creatinine should be obtained prior to treatment.
Rationale 4: A skin examination is necessary prior to treatment to monitor for melanoma.
Rationale 5: There is no reason to place an indwelling urinary catheter.

Global Rationale: The patient should have a varicella zoster vaccination at least 6 weeks prior to beginning this therapy. A CBC and a serum creatinine should be obtained prior to treatment. A skin examination is necessary prior to treatment to monitor for melanoma. There is no reason to place an indwelling urinary catheter.

Answer to Question 2

1
Rationale 1: Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause bleeding, so blood tests must be monitored.
Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDs) do not cause sedation, so falling is not a concern.
Rationale 3: Taking the medication as prescribed is important, but this does not address the side effects.
Rationale 4: Keeping scheduled doctors' appointments is important, but this does not address the side effects.
Global Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause bleeding, so blood tests must be monitored. Nonsteroidal anti-inflammatory drugs (NSAIDs) do not cause sedation, so falling is not a concern. Taking the medication as prescribed is important, but this does not address the side effects. Keeping scheduled doctors' appointments is important, but this does not address the side effects.