A patient is being treated with interferon beta-1a Avonex for ...

[V@ndy87]

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.

[ebenov]

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]

TY

[ebenov]

You're welcome