Author Question: A client with psoriasis will be receiving infliximab (Remicade). What will the nurse instruct the ... (Read 23 times)

lbcchick · **on:** Jul 23, 2018

A client with psoriasis will be receiving infliximab (Remicade). What will the nurse instruct the client about this medication?

Standard Text: Select all that apply.
1. An increase in infections can occur with this medication.
2. Latent infections can be reactivated with this medication.
3. This medication can only be administered through the intravenous route.
4. This medication is very expensive.
5. Multiple oral doses will need to be taken every day for several months.

Question 2

The mother of a client with head lice has completed the applications of a pediculicide. What is the best instruction by the nurse at this time?

1. Check the heads of your child's friends before allowing them to play together.
2. Remove all nits from the hair shaft with a nit comb or a fine-tooth comb.
3. You are fine now; just watch your child for a reinfection.
4. Keep your child's hair short so it will be easier to treat next time.

emilymalinowski12 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: This medication induces general immunosuppression, and clients are at greater risk for infection.
Rationale 2: Because this medication causes immunosuppression, latent infections can become reactivated.
Rationale 3: A major disadvantage of this medication is that it is not available in oral formulations.
Rationale 4: The cost of therapy may exceed 10,000 per year.
Rationale 5: An oral form of this medication is not available.
Global Rationale: This medication induces general immunosuppression, and clients are at greater risk for infection, including reactivation of latent infections. A major disadvantage of this medication is that it is not available in oral formulations. It is also very expensive.

Answer to Question 2

Correct Answer: 2
Rationale 1: The heads of the child's friends do not need to be checked by this mother.
Rationale 2: After the shampoo treatment, the mother should remove all nits from the hair shaft with a nit comb or a fine-tooth comb.
Rationale 3: The treatment is not complete.
Rationale 4: There is no need to cut the child's hair.
Global Rationale: After the shampoo treatment, the mother should remove all nits from the hair shaft with a nit comb or a fine-tooth comb. The heads of the child's friends do not need to be checked by this mother. There is no need to cut the child's hair.