A client with multiple sclerosis has been prescribed interferon beta-1a. During teaching, which statement by the client indicates the greatest risk for ineffective treatment and requires further education?
“I will report any signs of depression to my provider."
"I will rotate injection sites with each dose."
“I may have flu-like symptoms when I start this medication."
“I can stop the medication when I feel better."
The Correct Answer is D
A. “I will report any signs of depression to my provider.": Monitoring mood is important because interferon beta can contribute to depression, but reporting symptoms ensures early intervention. This statement reflects appropriate understanding and does not compromise treatment efficacy.
B. "I will rotate injection sites with each dose.": Rotating injection sites reduces local skin reactions and maintains absorption. This demonstrates proper self-administration technique and supports effective treatment.
C. “I may have flu-like symptoms when I start this medication.": Flu-like symptoms are a common side effect of interferon beta. Recognizing this allows the client to manage symptoms appropriately, usually without affecting treatment efficacy.
D. “I can stop the medication when I feel better.": Stopping interferon beta prematurely can reduce its effectiveness in preventing MS relapses and disease progression. This statement indicates misunderstanding of the need for continuous therapy and requires further education to ensure consistent disease management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Store the medication in the bathroom medicine cabinet.": Levothyroxine should be stored in a cool, dry place away from moisture and heat. Bathrooms are typically humid environments, which can degrade the medication, making this advice unsafe.
B. "You may stop the medication once your symptoms improve.": Levothyroxine is a lifelong therapy for most patients with hypothyroidism. Abrupt discontinuation can lead to recurrence of symptoms and potentially severe hypothyroid complications. Patients should not stop the medication without provider guidance.
C. "Take the medication with milk to reduce stomach upset.": Calcium and certain minerals in milk can interfere with levothyroxine absorption. The medication should be taken on an empty stomach with water, typically 30–60 minutes before food, to ensure effectiveness.
D. "Notify the provider if you experience chest pain or palpitations.": Levothyroxine increases metabolic rate and can precipitate tachycardia, palpitations, or angina if the dose is excessive. Mon
Correct Answer is ["33"]
Explanation
Calculation:
- Identify the total volume and infusion time
Total Volume: 50 mL
Infusion Time: 90 minutes → 1.5 hours
- Calculate the infusion rate
Infusion Rate (mL/hr) = Total Volume ÷ Time (hr)
Infusion Rate = 50 ÷ 1.5
Infusion Rate = 33.33 mL/hr
- Round to the nearest whole number
Infusion Rate = 33 mL/hr
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