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Author Question: A patient is being treated with interferon beta-1a Avonex for relapsing-remitting MS. The patient ... (Read 81 times)

V@ndy87

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on: Jul 23, 2018
A patient is being treated with interferon beta-1a Avonex for relapsing-remitting MS. The patient calls the clinic to report headache, fever, chills, and muscle aches after administering a dose. What will the nurse recommend?
 
  a. Acetaminophen or ibuprofen
  b. Asking the provider to order a complete blood count (CBC)
  c. Coming to the clinic for evaluation for leukoencephalopathy
  d. Discontinuing the drug immediately

Question 2

A patient receives an injection of human chorionic gonadotropin after follicular maturation has been induced with another agent. The patient comes to the clinic 2 days later complaining of headache, irritability, and fatigue.
 
  What will the nurse do? a. Perform a urine pregnancy test.
  b. Reassure the patient that these are known adverse effects.
  c. Request an order for a serum estrogen level.
  d. Review the patient's abdominal ultra-sound.


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ebenov

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Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Patients treated with interferon beta can experience flulike reactions that diminish over time. Acetaminophen or ibuprofen may be used to treat symptoms. A CBC is not indicated. Leukoen-cephalopathy is a side effect of natalizumab, not interferon beta. It is not necessary to disconti-nue the drug.

Answer to Question 2

B
Headache, irritability, and fatigue are known adverse effects of hCG. A urine pregnancy test is not indicated, because it is too soon for the patient to be pregnant. A serum estrogen level and an abdominal ultrasound are not indicated.


V@ndy87

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Reply #2 on: Jul 23, 2018
TY


ebenov

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Reply #3 on: Jul 23, 2018
You're welcome


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