hard · NCLEX-RN pharmacology

A clinic nurse is preparing to administer an initial intravenous infusion of infliximab to a 35-year-old client with active rheumatoid arthritis. Which of the following findings from the client's electronic health record require the nurse to withhold the medication and collaborate with the provider? Select all that apply.

1. History of latent tuberculosis treated with a completed 9-month course of isoniazid (INH) three years ago.
2. Erythrocyte sedimentation rate (ESR) of 45 mm/hr [reference range: 0-20 mm/hr].
3. The client has an indwelling urinary catheter with cloudy, foul-smelling urine.
4. A positive hepatitis B surface antigen (HBsAg) with positive total hepatitis B core antibody (anti-HBc).
5. A prescription for a live varicella vaccine scheduled for later this afternoon.

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