# A client with idiopathic pulmonary fibrosis is starting pirfenidone. Drag each statement into the appropriate category.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522578&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

A client with idiopathic pulmonary fibrosis is starting pirfenidone. Drag each statement into the appropriate category.

**1.** Take each prescribed dose with food

Select a category
Unsafe
Appropriate

**2.** Use protective clothing and broad-spectrum sunscreen outdoors

Select a category
Unsafe
Appropriate

**3.** Complete ordered liver tests and report dark urine or jaundice

Select a category
Unsafe
Appropriate

**4.** Use a tanning bed to build tolerance to photosensitivity

Select a category
Unsafe
Appropriate

**5.** Resume smoking because it increases pirfenidone effectiveness

Select a category
Unsafe
Appropriate

**6.** Ignore a blistering rash until the next routine appointment

Select a category
Unsafe
Appropriate

## Explanation

Pirfenidone is taken with food, requires liver monitoring, and calls for daily protection from sunlight. Smoking can reduce drug exposure, and severe rash or liver-injury symptoms require prompt follow-up.

## In-depth explanation

Quick answer
Separate safe antifibrotic self-management from exposure and toxicity risks.

Why this is correct
Food can reduce nausea and dizziness, while sun protection reduces photosensitivity. Liver symptoms and severe skin reactions are not routine effects to ignore.

Easy analogy or mental picture
Use a closed medication-safety loop: identify the exposure, connect the new findings, interrupt further harm, support physiology, and verify the response over time.

Memory hook
Exposure, interaction, toxicity pattern, immediate action, serial reassessment.

NCLEX decision rule
Choose the action that reduces the most immediate medication-related risk while preserving monitoring and escalation.

Why the other choices are wrong
Options that continue the exposure, treat only one symptom, or delay reassessment leave the toxic process active.References
1DailyMed: ESBRIET (pirfenidone)Food administration, liver monitoring, photosensitivity prevention, and reduced exposure with smoking

## Clinical scenario

Medication safety review
Verify the indication, route, interacting medicines, current respiratory and gastrointestinal findings, authorized action, and measurable follow-up.

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