Question

The nurse is performing discharge teaching on a client with rheumatoid arthritis who has been prescribed hydroxychloroquine (Plaquenil). Which statement by the client indicates that he understood the instructions given? A. "I should report any blurred vision or headache." B. "I have to take folic acid with this drug." C. "I should expect results in six months." D. "I should take this medication on an empty stomach."

Short answer

A) I should report any blurred vision or headache. B) I have to take folic acid with this drug. C) I should expect results in six months. D) I should take this medication on an empty stomach. Answer: A) I should report any blurred vision or headache.

Step-by-step solution

Identify the correct statement

To determine which statement correctly indicates that the client has understood the instructions given about hydroxychloroquine, the student must have knowledge about the drug and its usage for rheumatoid arthritis treatment. The student will have to analyze each answer choice and decide which one correctly reflects the instructions given for hydroxychloroquine use.

Analyze Answer Choice A

"I should report any blurred vision or headache." This statement is correct, as hydroxychloroquine can cause retinal toxicity, leading to vision problems. It is important for patients to report any visual disturbances or headaches immediately. This answer choice indicates that the client understands the need to monitor for potential side effects.

Analyze Answer Choice B

"I have to take folic acid with this drug." Although folic acid is often prescribed as a supplement in association with other medications used to treat rheumatoid arthritis, such as methotrexate, it is not specifically required to be taken with hydroxychloroquine. This answer choice does not demonstrate understanding of hydroxychloroquine instructions.

Analyze Answer Choice C

"I should expect results in six months." Rheumatoid arthritis patients may not see immediate results from hydroxychloroquine, but they should start noticing improvement within a few months. However, this answer choice is vague in terms of the duration to expect results, and it is not the best option when compared to Answer Choice A.

Analyze Answer Choice D

"I should take this medication on an empty stomach." Hydroxychloroquine can be taken with food or milk to avoid stomach upset. This answer choice is incorrect, as it does not demonstrate an understanding of the proper way to take the medication.

Choose the correct answer

Based on the analysis of each answer choice, Answer Choice A - "I should report any blurred vision or headache." - is the correct statement indicating that the client has understood the instructions given about hydroxychloroquine.

Key concepts

Rheumatoid Arthritis Treatment

Rheumatoid arthritis is a chronic inflammatory disorder that primarily affects the joints, but can also impact other parts of the body. The goal of rheumatoid arthritis treatment is to reduce inflammation, relieve pain, and improve overall joint function. Various treatment options are available, combining medication, lifestyle changes, and sometimes physical therapy.
To help manage symptoms, medications like nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, and disease-modifying antirheumatic drugs (DMARDs) may be used. Hydroxychloroquine is a type of DMARD used specifically to help control inflammation and slow disease progression. It's important for patients to work closely with healthcare providers to create the best treatment plan tailored to their specific needs.

Patient Teaching

Educating patients is a crucial part of managing any long-term medical condition, including rheumatoid arthritis. Patient teaching ensures that individuals understand their condition, treatment plans, and the importance of medication adherence. When it comes to hydroxychloroquine, educating the patient involves explaining how to take the medication and identifying symptoms that warrant medical attention.
When teaching patients, nurses should make sure patients understand:

• The purpose and expected outcomes of the medication.
• The importance of regular follow-ups and eye exams, given the potential side effects.
• How to monitor for any side effects or new symptoms.

Clear communication, use of easy-to-understand language, and validating patient understanding can greatly enhance adherence to the treatment regimen.

Medication Side Effects

Just as with many medications, being aware of potential side effects is essential for those taking hydroxychloroquine. This drug, commonly used for rheumatoid arthritis, can play a powerful role in managing the illness but comes with several side effects that patients should monitor.
Some possible side effects of hydroxychloroquine include:

• Vision changes, such as blurred vision or retinal damage, which require immediate medical attention.
• Headaches that might indicate neurological effects.
• Gastrointestinal issues like nausea or stomach pain, often alleviated by taking the medication with food.

Being informed allows patients to take timely action and communicate potential concerns with their healthcare provider.

Hydroxychloroquine Usage

Hydroxychloroquine is a medication widely used in the treatment of autoimmune diseases such as rheumatoid arthritis. It helps decrease the immune system's attack on the body's tissues, thus reducing inflammation and pain. Proper usage is key to ensuring its effectiveness and minimizing potential complications.
This medication should be taken consistently, as prescribed, to maintain therapeutic levels in the body. It is advised to take hydroxychloroquine with food or milk to reduce gastrointestinal discomfort. Regular eye examinations are important because prolonged use can lead to vision alterations. Patients should be made aware of any sudden changes in vision and neurological symptoms like headaches, as these warrant prompt medical evaluation. Proper education and adherence can lead to successful management of rheumatoid arthritis.