A nurse is giving medicinal instructions to a female client receiving leflunomide (Arava). Which of the following is an appropriate instruction with the use of the medication?

Correct Answer: A

Rationale: Leflunomide is teratogenic and can cause severe birth defects. Women of childbearing age must use effective contraception during treatment and for a period after discontinuation. Breastfeeding is contraindicated due to the risk of harm to the infant. Cholestyramine is used to accelerate the elimination of leflunomide in case of toxicity, not to lessen side effects. Improvement in symptoms typically takes weeks, not days.

Correct Answer: A

Rationale: Enteral nutrition involves delivering nutrients directly into the gastrointestinal tract, typically via a tube, and can be administered intermittently (e.g., bolus feedings) or continuously (e.g., via a pump), offering flexibility based on the client's needs and tolerance. This method contrasts with parenteral nutrition, which uses veins, making the venous administration statement inaccurate for enteral feeding. The purpose of enteral nutrition often includes supporting clients who cannot swallow adequately-due to conditions like dysphagia-ensuring they receive sufficient calories and nutrients to prevent malnutrition. However, enteral feedings are typically formula-based, not thinned pureed food, as specialized formulas provide balanced nutrition tailored to medical needs, unlike pureed diets which are less common in tube feeding. The intermittent or continuous delivery option is key education, as it addresses how the therapy adapts to lifestyle and clinical status, providing practical understanding for the client and family while clarifying enteral nutrition's gastrointestinal focus over intravenous methods.

Correct Answer: A

Rationale: Understanding two differences (e.g., cost, inactive ingredients) between brand and generic drugs empowers the client to make informed choices, the best outcome. Sticking to brand after physician talk assumes preference. Asking why brand is better misaligns-generics are equivalent. Cost reduction methods are practical but secondary to comprehension. Knowledge of differences supports the switch, aligning with cost-saving goals.

Correct Answer: A

Rationale: Body image concerns in adolescents often tie to eating-defensiveness about food scrutiny suggests disordered eating (e.g., anorexia), linking pain to image stress. Sexual activity, irregular periods, or parent conflicts point elsewhere-STI, hormonal issues, or family tension. Food focus signals image worry, per developmental psychology.

Correct Answer: D

Rationale: Bipolar disorder's mania includes increased goal-directed activity, talkativeness, and distractibility-per DSM-5-over a month with depression cycles. Sleep/death/hallucinations lean psychotic. Delusions/fatigue suggest schizophrenia or depression. Eating/despair/ideas mix symptoms. Manic traits diagnose, per criteria.