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Tpy6a [65]
3 years ago
7

A nurse is teaching about a new prescription for infliximab to a client who has rheumatoid arthritis. Which of the following inf

ormation should the nurse include in the teaching?
a. “You will receive a Mantoux test before the initial medication dose.”
b. “You might experience diarrhea during the first 2 weeks of treatment.”
c. “You will receive the medication every week for 6 weeks.”
d. “You should receive the intranasal influenza vaccine.”
Medicine
1 answer:
Phoenix [80]3 years ago
7 0

Answer: Opcion A. "You will receive a Mantoux test before the initial medication dose"

Explanation: The INFLIXIMAB is one of the medications used for treating Rheumatoid arthritis, among other inflammatory diseases as psoriasic arthritis,  ankylosing spondylitis, Crohn's disease. It is used when the regular treatment has not worked. It helps to reduce pain and joint inflammation.

The mechanism of action of the INFLIXIMAB is to reduce a substance called TNFα (Tumor Necrosis Factor α) responsible for the inflammatory response that helps the body against an antigen. Because this medication reduces this body defense, it is important for the health providers to know in advance if there is a condition or disease in the immune system, cancer, or something that <em>per se</em>, could predispose to infections.

The Mantoux test is a tuberculin skin test that is used to know if a person has an infection with <em>Mycobacterium tuberculosis, </em>the bacteria responsible of causing Tuberculosis. In the test, a tuberculin protein called PPD is used to be injected into the skin, specifically in the forearm. If the person is infected with the bacteria, it is expected that between 48 and 72 hours, the health professional would see an induration in the site of injection.

If someone has a positive tuberculin test, then it would not be possible to administer INFLIXIMAB.

Opcion B. Incorrect. There is no description of diarrhea as an adverse event for using this medication. The adverse effects could be headache, stomach ache, cough or skin allergy. Also, for the suppression of part of the immune system, it is recommended to be aware of symptoms of infection as fever, sweats, muscle pain.

Opcion C. Incorrect. The usual dose of INFLIXIMAB in the treatment of Rheumatoid Arthritis for adults is, an inicial dose, then a second dose 2 weeks later; then, a third dose 4 weeks later, and finally one dose every 8 weeks.

Opcion D. Incorrect. The intranasal influenza vaccine is a "live attenuated" vaccine. If it is administered in a person using INFLIXIMAB, he/she could develop a severe infection by <em>Influenza</em>.

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6 0
1 year ago
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Usimov [2.4K]

Answer:

Pull them off slowly. It will pain a little bit, but it only lasts for a few seconds. Once the pain is gone, pull it a little bit more. Eventually it will be off and the pain will be les than the pain of the shots altogether.

My parents taught me this and it barely hurt.

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5 0
3 years ago
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A nurse is performing an otoscopic examination on a client. Which finding would the nurse document as abnormal
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the abnormalities the nurse can document during the otoscopic examination are immobility of the tympanic membrane and middle ear effusion.

<h3>What is otoscopy?</h3>

Otoscopy can be defined as a clinical procedure used in the examination of the structures of the ear, particularly the external auditory canal, tympanic membrane, and even the  middle ear.

Clinicians carryout otoscopy during routine wellness physical exams and the evaluation of specific ear complaints

During  the otoscopic examination, the clinician utilizes an otoscope, also to see through or  to visualize the ear anatomy.

The abnormalities that can be documented include;

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Thus, the abnormalities the nurse can document during the otoscopic examination are immobility of the tympanic membrane and middle ear effusion.

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8 0
2 years ago
What should I know about becoming a dermatologist?​
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Answer:

Dermatology

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The dermatologist diagnoses, treats and helps to prevent the diseases that can affect the skin, hair, and nails. Surgical dermatology: The dermatologist treats the diseases that affect the skin, hair, and nails through surgical procedures, such as the removal of skin cancer. You have to have a strong stomach because it can get quite gross.

3 0
3 years ago
I need help on this please !!
stira [4]

Answer:

I believe your answer would be A.

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C does not need to be performed by health care regulatory agencies. Additionally, the agencies should NOT ignore patient safety or overlook compliance issues.

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