Comprehensive Nursing Pharmacology Q 231

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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?

  

     A. To use an effective form of birth control while on the treatment.

     B. Breastfeeding does not have to be stopped during the treatment.

     C. To use cholestyramine to lessen the side effects.

     D. It may take 3-5 days to notice any improvement while taking leflunomide.

    

    

Correct Answer: A. To use an effective form of birth control while on the treatment.

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Use an effective form of birth control to avoid pregnancy while taking leflunomide because of its teratogenic effect.

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Option B: The medicine can be excreted in human milk.

Option C: Cholestyramine decreases leflunomide’s effectiveness.

Option D: It may take 4 weeks or more to notice any improvement while taking leflunomide.

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