A patient who has experienced preterm births with her previous ...

[jjjetplane]

A patient who has experienced preterm births with her previous two pregnancies will begin receiving hydroxyprogesterone caproate Makena to prevent preterm delivery with her current pregnancy.
 
  Which statement by the patient indicates a need for further teaching about this drug? a. I should report any calf pain immediate-ly.
  b. I will eventually learn to administer the injections of this drug myself.
  c. This drug may cause fluid retention and glucose intolerance.
  d. This medication must be given once a week until 37 weeks' gestation.

Question 2

A nurse provides teaching for a 25-year-old patient who will receive mitoxantrone Novantrone for worsening relapsing-remitting multiple sclerosis. Which statement by the patient indicates a need for further teaching?
 
  a. I may experience cardiac side effects several years after receiving this drug.
  b. I should report fever, chills, cough, and hoarseness immediately.
  c. I will need an infusion of this medication once weekly.
  d. I will need a liver function test and a pregnancy test before each dose.

[trampas]

Answer to Question 1

B
Hydroxyprogesterone caproate is given IM and must be given by a healthcare provider and not by the patient. Although serious side effects are rare, thrombosis and thromboembolism may oc-cur, so the patient should report signs of thrombosis immediately. Fluid retention and glucose intolerance may occur. The medication is given weekly from 16 to 21 weeks' gestation up to 37 weeks or delivery of the baby.

Answer to Question 2

C
Mitoxantrone is given as an infusion once every 3 months. Cardiac side effects may become ap-parent during treatment or up to years after discontinuation of the drug. Fever, chills, cough, and hoarseness are signs of infection and should be reported immediately. LFTs and a pregnancy test should be done before each infusion.

[jjjetplane]

TYSM

[helenmarkerine]

Thanks for the timely response, appreciate it