This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with Crohn's disease will begin receiving an initial infusion of infliximab (Remicade). ... (Read 66 times)

ahriuashd

  • Hero Member
  • *****
  • Posts: 535
on: Jul 23, 2018
A patient with Crohn's disease will begin receiving an initial infusion of infliximab (Remicade). The nurse explains how this drug works to treat this disease. Which statement by the patient indicates a need for further teaching?
 
  a. I may have an increased risk of infections, such as tuberculosis, when taking infliximab.
  b. I should report chills, fever, itching, and shortness of breath while receiving the infusion.
  c. This drug sometimes provides a complete cure of inflammatory bowel disease.
  d. I will take the second dose in 2 weeks, the third dose in 6 weeks, and then a dose every 8 weeks thereafter.

Question 2

A nurse is discussing the use of immunosuppressants for the treatment of inflammatory bowel disease (IBD) with a group of nursing students. Which statement by a student indicates understanding of the teaching?
 
  a. Azathioprine (Imuran) helps induce rapid remission of IBD.
  b. Cyclosporine (Sandimmune) can be used to induce remission of IBD.
  c. Cyclosporine (Sandimmune) does not have serious adverse effects.
  d. Methotrexate is used long term to maintain remission of IBD.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kjo;oj

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
None of the drugs used to treat obstructive bowel disease (OBD) are curative. Patients taking immunomodulators, such as infliximab, have an increased risk of infection, especially opportunistic infections such as TB. Infusion reactions may occur and include chills, fever, itching, and shortness of breath. The induction regimen is 5 mg/kg infused at 0, 2, and 6 weeks, followed by a maintenance regimen every 8 weeks.

Answer to Question 2

ANS: B
Cyclosporine can be given intravenously to induce rapid remission of IBD. Azathioprine has delayed onset of effects up to 6 months and is not used to induce rapid remission. Cyclosporine is a toxic compound that can cause renal impairment, neurotoxicity, and immune suppression. Methotrexate is used to promote short-term remission.


ahriuashd

  • Member
  • Posts: 535
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

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?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

The amyloid-β peptide, which plays a major role in Alzheimer’s disease The amyloid-β peptide, which plays a major role in Alzheimer’s disease
Patient education Patient education
Hypothetical Exchanges of Information within the Brain of a Patient with Visual Agnosia Hypothetical Exchanges of Information within the Brain of a Patient with Visual Agnosia
A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ... A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ...
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
After multiple injections of a local anesthetic, the patient developed herpetic lesions. After multiple injections of a local anesthetic, the patient developed herpetic lesions.
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library