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Questions and Answers
A client with a history of heart failure is prescribed etanercept. What specific signs and symptoms should the client be instructed to promptly report to their healthcare provider?
A client with a history of heart failure is prescribed etanercept. What specific signs and symptoms should the client be instructed to promptly report to their healthcare provider?
- Decreased urine output and constipation.
- Persistent cough, shortness of breath, and pink sputum. (correct)
- Dry skin and brittle nails.
- Increased appetite and weight gain.
Why is the concurrent administration of etanercept and anakinra generally avoided?
Why is the concurrent administration of etanercept and anakinra generally avoided?
- It elevates the risk of severe infections. (correct)
- It causes paradoxical hypertension.
- It can lead to increased red blood cell production.
- It diminishes the effectiveness of anakinra.
Before initiating etanercept therapy, which pre-existing conditions should be ruled out due to contraindications?
Before initiating etanercept therapy, which pre-existing conditions should be ruled out due to contraindications?
- Active infection, hematologic disease, and malignancy. (correct)
- Hypertension and hyperlipidemia.
- Osteoporosis and vitamin D deficiency.
- Migraines and insomnia.
A client is scheduled to receive live vaccines. How should this influence the timing of their etanercept administration?
A client is scheduled to receive live vaccines. How should this influence the timing of their etanercept administration?
If a patient is also receiving chemotherapeutic medications, what potential interaction with etanercept needs to be monitored carefully?
If a patient is also receiving chemotherapeutic medications, what potential interaction with etanercept needs to be monitored carefully?
A client taking etanercept reports persistent dizziness. Which action should the nurse take first?
A client taking etanercept reports persistent dizziness. Which action should the nurse take first?
A client is about to begin etanercept therapy. Which pre-administration assessment is most important for the nurse to perform?
A client is about to begin etanercept therapy. Which pre-administration assessment is most important for the nurse to perform?
A client on etanercept develops a persistent cough, shortness of breath, and elevated blood pressure. What condition should the nurse suspect?
A client on etanercept develops a persistent cough, shortness of breath, and elevated blood pressure. What condition should the nurse suspect?
A nurse is teaching a client about etanercept. Which statement by the client indicates a need for further teaching?
A nurse is teaching a client about etanercept. Which statement by the client indicates a need for further teaching?
A client receiving weekly etanercept injections reports persistent redness and itching at the injection site. Which intervention is most appropriate?
A client receiving weekly etanercept injections reports persistent redness and itching at the injection site. Which intervention is most appropriate?
Which of the following instructions should a nurse provide to a client who is self-administering etanercept?
Which of the following instructions should a nurse provide to a client who is self-administering etanercept?
A client on etanercept therapy is scheduled for elective surgery. What is the most appropriate action regarding their medication?
A client on etanercept therapy is scheduled for elective surgery. What is the most appropriate action regarding their medication?
A client with a history of heart failure is prescribed etanercept. What is the priority nursing intervention?
A client with a history of heart failure is prescribed etanercept. What is the priority nursing intervention?
Flashcards
Heart failure signs
Heart failure signs
Cough, shortness of breath, elevated blood pressure/heart rate, pink sputum.
Etanercept contraindications
Etanercept contraindications
Active infection, hematologic disease, malignancy.
Etanercept precautions
Etanercept precautions
Autoimmune diseases, live vaccines, heart failure.
Etanercept Interactions
Etanercept Interactions
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Etanercept & anakinra
Etanercept & anakinra
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What are DMARDs?
What are DMARDs?
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How do Biologic DMARDs work?
How do Biologic DMARDs work?
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Common side effects of Etanercept?
Common side effects of Etanercept?
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Severe allergic reactions from Etanercept?
Severe allergic reactions from Etanercept?
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Key nursing interventions for Etanercept?
Key nursing interventions for Etanercept?
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Monitor for what signs of heart failure?
Monitor for what signs of heart failure?
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How is Etanercept administered?
How is Etanercept administered?
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Client instructions for Etanercept?
Client instructions for Etanercept?
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Study Notes
- Etanercept is a biologic DMARD
Therapeutic Use
- DMARDs treat and decrease joint inflammation and subsequently prevent joint damage.
- Biologic DMARDs are tumor necrosis factor antagonists.
- These medications bind with naturally occurring tumor necrosis factor, preventing it from attaching to cells on the surface of synovial tissue in the joints.
Adverse Drug Reactions
- Increased susceptibility to infections
- Dizziness
- Abdominal pain
- Pharyngitis
- Psoriasis
- Upper Respiratory Infections
- Severe allergic reactions can occur, such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and erythema multiforme
- Injection site reaction
- Heart failure
- Reactivation of latent tuberculosis (TB)
Interventions
- Assess for infection before each injection.
- Monitor for manifestations of infection during therapy.
- Monitor for skin reactions.
- Monitor for discoloration, warmth, and itching at the injection site.
- Monitor for signs and manifestations of heart failure like cough, shortness of breath, elevated blood pressure and heart rate, and pink sputum.
- Administer a TB test before starting therapy
Administration
- Administer by subcutaneous injection.
- Give once a week
- Monitor the injection site for redness, pain, and swelling after administration.
Client Instructions
- Immediately report signs and manifestations of infection.
- Avoid immunizations, especially those that contain live vaccines.
- Report skin rashes immediately.
- Report reactions that do not subside within a few days.
- Report manifestations of heart failure like cough, shortness of breath, elevated blood pressure and heart rate, and pink sputum immediately.
- Report shortness of breath or new production of sputum.
Contraindications
- Active infection
- Hematologic disease
- Malignancy
Precautions
- Autoimmune diseases
- Live vaccines
- Heart failure
Interactions
- Chemotherapeutic medications co-administration may cause bone marrow suppression.
- Should not be given with anakinra due to increased risk of infections.
- Live vaccines
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Description
Etanercept is a biologic DMARD that treats and decreases joint inflammation, preventing joint damage. It functions as a tumor necrosis factor antagonist. Monitor for infections and skin reactions during therapy. Report any signs of heart failure.
