Author Question: A patient has taken two doses of interferon Alfa-2b (Intron-A). He comes to the clinic today with ... (Read 56 times)

awywial · **on:** Jul 23, 2018

A patient has taken two doses of interferon Alfa-2b (Intron-A). He comes to the clinic today with the following complaints. Which symptoms would the nurse identify as common adverse effects of this therapy?

1. I am so dizzy.
2. I have an itchy rash on my legs.
3. I have no appetite.
4. I am so tired.
5. My bones ache.

Question 2

A patient who had a kidney transplant 5 days ago says, I am glad I did not reject my kidney. What should the nurse consider when formulating a response to this statement?

1. Cell-mediated rejection takes place about 2 weeks after transplant.
2. Chronic rejection may occur months after transplant.
3. Chronic rejection may occur years after transplant.
4. Transplant does not occur until several days after transplant.
5. Transplant rejection is rare in kidney transplants.

ergserg · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,3,4
Rationale 1: Dizziness occurs in about half of those taking interferon.
Rationale 2: Rash is not a common adverse effect.
Rationale 3: Anorexia is a relatively common adverse effect.
Rationale 4: Fatigue occurs in about half of those taking interferon.
Rationale 5: Bone pain is not a common adverse effect.

Global Rationale: Dizziness and fatigue occur in about half of those taking interferon. Anorexia is a relatively common adverse effect. Rash and bone pain are not common adverse effects.

Answer to Question 2

1,2,3
Rationale 1: Cell-mediated rejection takes time and occurs about 2 weeks after transplant.
Rationale 2: Chronic rejection may occur months after surgery.
Rationale 3: Chronic rejection may occur years after surgery.
Rationale 4: Acute transplant rejection occurs almost immediately.
Rationale 5: Rejection is an issue in all organ transplants.

Global Rationale: Cell-mediated rejection takes time and occurs about 2 weeks after transplant. Chronic rejection may occur months or years after surgery. Acute transplant rejection occurs almost immediately.