Question

a nurse is teaching a client who has a new prescription for etanercept. which of the following statements should the nurse include in the teaching?

• \you will inject this medication once a week in your thigh muscle.\
• \you should immediately report signs of infection to your provider.\
• \you will need to avoid taking ibuprofen while on this medication.\
• \you will need to receive an mmr vaccine 1 month after starting this medication.\

Explanation:

Etanercept is a biologic response modifier (TNF inhibitor) that suppresses the immune system. So, clients on etanercept are at increased risk of infections. Let's analyze each option:

• First option: Etanercept is usually injected subcutaneously (not intramuscularly in the thigh) and the dosing frequency varies but the route here is incorrect.
• Second option: Since etanercept suppresses immunity, signs of infection (like fever, sore throat, etc.) must be reported immediately as infections can be severe. This is correct.
• Third option: Ibuprofen (NSAID) can be taken with etanercept in most cases for pain/inflammation; there's no contraindication to avoid it.
• Fourth option: Live vaccines (like MMR) are contraindicated in clients on immunosuppressive drugs like etanercept, so getting an MMR vaccine is not recommended.

Answer:

B. "You should immediately report signs of infection to your provider."